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Sunday School & Teen Program Registration 2025-2026 / 5786

Family Contact Information

Mailing Address

Physical Address (if different from Mailing Address)

Emergency Contact

Student Enrollment Information

Information will not be shared publicly. Parents will be copied on all communication to students.
Information will not be shared publicly. Students will not be contacted independently from parents.
Please describe allergies and medications with dosage and timing.

Please offer any additional notes on your student that will be worth noting to our educator. Please include any behavioral notes, notes from an IEP if applicable, and best practices from school or home to engage your student. All details will be confidential.

Does the WRJC have permission to include your student's photograph in emails, printed publications, and social media accounts?

Information will not be shared publicly. Parents will be copied on all communication to students.
Information will not be shared publicly. Students will not be contacted independently from parents.
Does your child have allergies or medications we need to know about?
Please describe allergies and medications with dosage and timing.
Information will not be shared publicly. Parents will be copied on all communication to students.
Information will not be shared publicly. Students will not be contacted independently from parents.
Does your child have allergies or medications we need to know about?
Please describe allergies and medications with dosage and timing.
Information will not be shared publicly. Parents will be copied on all communication to students.
Information will not be shared publicly. Students will not be contacted independently from parents.
Does your child have allergies or medications we need to know about?
Please describe allergies and medications with dosage and timing.
Thu, September 11 2025 18 Elul 5785