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 $66 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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CLICK THESE DATES ONLY IF YOU WILL NOT WANT PIZZA THAT EVENING
 Aug 26 (Confirmation only)
 Sept 2
 Sept 9
 Sept 16
 Sept 23
 Sept 30
 Oct 7
 Oct 14
-- Oct 21 - Fall Break
 Oct 28
 Nov 4
 Nov 11
 Nov 18

No Genesis - Thanksgiving/Christmas Break

 Jan 6, 2010
 Jan 13
 Jan 20
 Jan 27
 Feb 3
 Feb 10
 
No Pizza during Lent (Feb 17-March 31, 2010) Join us for worship each Wednesday at 7:00 p.m.
 April 7
 Apr 14
 Apr 21
 Apr 28
 May 2