Summer School

Name

Date of birth

Gender

Grade Level

Checkboxes

I permit IIE Summer School to display pictures of my child on the IIE Sunday School website

Allergies/Health Concerns and Health Care Provider

Father’s Name

Father’s Profession

Mother’s Name

Mother’s Profession

Phone Number

Email Address

Address

Address Line 1

Address Line 2

City

State

Zip Code

Authorized person who will pick up your child

Emergency Contact's Name

Emergency Contact's Phone Number

Emergency Contact's Relationship

Registration fee

Price: $50.00

Registration fee

Payment

Card Number

Expiration Date

Security Code

Card Holder Name

Quick Links