REGISTRATION Child's Name_____________________________________________ Grade in School____________ Birthdate______________________ Father's Name___________________________________________ Mother's Name__________________________________________ Address________________________________________________ ______________________________________________________ Home Telephone__________________________________________ ________ Cubbies (3&4 yr. olds)* ________ Sparks (K-Grade 2) ________ T&T (Grade 3&4 girls) ________ T&T (Grade 3&4 boys) ________ T&T (Grade 5&6 girls) ________ T&T (Grade 5&6 boys) Return to church office at David's Church 1072 Rt. 25 Millersburg, PA 17061 *Cubbie Requirements:     1. Must be 3 years-old-by Sept. 1st.     2. Must be potty trained.