| Child's Name _________________________ |
Baptismal Name: ________________________ |
| Age: ___________Grade:______________ |
Birthday: _______________________________ |
Parents Name: |
Mother___________________________________
Father___________________________________ |
Phone Number: |
#_____________________________________ |
Cell Phone Number: |
#_____________________________________ |
Email: |
______________________________________ |
| My child
has attended __________ years of Sunday
School / Religious Instruction |
My child speaks: English _____ Russian _____
Other ______ |
| We have
"The Law of God" Book:
YES_______
or NO___________ |
Your Address:_________________________
_____________________________________
_____________________________________ |