Name of Child
Christian Education Program
     Genesis Midweek Christian Education Program (grades 1-6) (6:00 - 7:30 p.m.)
     Junior Confirmation (7th & 8th Graders) (6:00 - 8:00 p.m.)
     Sunday School Program (ages 3- high school)

Child’s Grade  
Parent(s) Name
Address
City      Zip
Phone  Cell Phone
Emergency Contact Person
Contact Person Home phone  Contact Person Cell Phone
Medical Problems
Family Doctor  Doctor Phone
Email *required 
Nursey Needed?
Nursery Children’s Age
Sunday School ONLY? Proceed to “Submit” Button at the bottom of the page.
Genesis/Junior Confirmation? Please complete the Pizza order form below.

Pizza Order Form
For Children Enrolled in Genesis Midweek Program & Junior Confirmation

Pizza (two slices) is available each Wednesday evening to try to make it less hectic at home. The cost is $3 per week, OR $72 per year
Please check the Wednesdays you will NOT be ordering pizza. Make check payable to “Holy Cross” (subtract $3 for each Wednesday you will NOT be attending)

We offer 3 types of pizza. Please choose the topping you would prefer (only one for the year)
 Cheese
 Pepperoni
 Sausage
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  No Pizza at all for the whole year? Then just Click Here!
        (You do not need to click every date below)
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 Aug 20, 2008 CLICK THESE DATES ONLY IF YOU WILL NOT WANT PIZZA THAT EVENING
 Aug 27
 Sept 3
 Sept 10
 Sept 17
 Sept 24
 Oct 1
 Oct 8
 Oct 15
-- Oct 22 - Fall Break
 Oct 29
 Nov 5
 Nov 12
 Nov 19

No Genesis - Thanksgiving/Christmas Break

 Jan 7, 2009
 Jan 14
 Jan 21
 Jan 28
 Feb 4
 Feb 11
 Feb 18
 
No Pizza during Lent (Feb 25-April 8, 2009) Join us for worship each Wednesday at 7:00 p.m.
 April 15
 Apr 22
 Apr 29