Form - LRBC Sunday School Application - Lenox Road Baptist Church

LRBC Sunday School Registration

First Name

Last Name

Time & Date

Student Gender

Male

Female

Current School Grade

Student Age

Student Email

Student Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Can you pick up the class materials?

Yes, I can pick up at the church office

No, I need them delivered

How does the student currently attend school?

First Name

Last Name

Home Phone

Parent Cell Phone

Parent Work Phone

Parent Email

I give permission for my student to attend LRBC Sunday School.

Yes