Welcome to Southcliff
When do you plan to attend an activity on campus?
Sunday 9:30 AM
Sunday 11:00 AM
Wednsday night
ESL
Other
Mr.
Mrs.
Ms.
Dr.
Rev.
Age Range
18-29
30-39
40-49
50-59
60-69
70+
under 17 yrs. old
Mr.
Mrs.
Ms.
Dr.
Rev.
Age Range
18-29
30-39
40-49
50-59
60-69
70+
Family Information
Married
Single
Single Parent
Divorced
Widowed
Other
Grandparent/Guardian (if filling this out & registering children)
Children under the age of 18 living at home:
Boy/Girl
Boy
Girl
Age/Grade
Newborn
1 yr old
2 yr old
3 yr old
4 yr old
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Boy/Girl
Boy
Girl
Age/Grade
Newborn
1 yr old
2 yr old
3 yr old
4 yr old
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Boy/Girl
Boy
Girl
Age/Grade
Newborn
1 yr old
2 yr old
3 yr old
4 yr old
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Boy/Girl
Boy
Girl
Age/Grade
Newborn
1 yr old
2 yr old
3 yr old
4 yr old
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Boy/Girl
Boy
Girl
Age/Grade
Newborn
1 yr old
2 yr old
3 yr old
4 yr old
Kindergarten
1st grade
2nd
grade
3rd
grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Boy/girl
Boy
Girl
Age/Grade
Newborn
1 yr old
2 yr old
3 yr old
4 yr old
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Submit