St. Thomas, Whitemarsh

Complete all information below. When no information is available, please use "n/a".

Contact Information:

Mother's Name
Father's Name

Home Address

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Home Phone
Cell Phone
E-mail

Alternate Address (if different from home address):

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Home Phone
Cell Phone
E-mail

Child #1

Name
Date of Birth
Sex Male Female
Grade
School
Known Allergies

Child #2

Name
Date of Birth
Sex Male Female
Grade
School
Known Allergies

Child 3

Name
Date of Birth
Sex Male Female
Grade
School
Known Allergies

Child 4

Name
Date of Birth
Sex Male Female
Grade
School
Known Allergies

Questions? Please contact Brenda McVey at 215-233-3970
or e-mail Brenda McVey, Children's Ministries Coordinator

Copyright ©2003 Saint Thomas' Church, Whitemarsh. All rights reserved.


St. Thomas' Church, Whitemarsh
Bethlehem Pike and Camp Hill Road, P.O. Box 247, Fort Washington, PA 19034
Phone (215)233-3970 Fax (215)233-2893 Email info@stthomaswhitemarsh.org
© St. Thomas' Church, Whitemarsh. All rights reserved.
All trademarks property of their owners.

78 ms.