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Storrs Community Church

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Sunday School Registration '16-'17

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Address*

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For each child, please note his/her name, date of birth, age, and grade entering fall 2017.

Do you have more than 4 children in your family to register? If yes, please fill out another registration form for just those children.*

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In case of medical emergency, I give permission for the volunteers at Storrs Community Church to obtain medical treatment for my child(ren).*

I give permission for my child(ren) to be photographed or videotaped during Storrs Community Church activities. I recognize that images may be used on SCC publications or website.*

I have read the SCC Safe Church Policy (below submit button) and by checking the box, sign and indicate my agreement with its terms. I agree that checking the box will be the electronic representation of my signature for all purposes on this document.*