Baptism Date, Denomination, and Place (if known). If your child is not baptized and you would like to discuss baptism, please contact one of our clergy through the office at office@christchurchshorthills.org *
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Allergies (if applicable)
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Current Medications (if applicable)
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Parent / Guardian Name(s) *
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Home Address *
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Parent Mobile Number *
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Parent Email *
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Are you new to Christ Church and would like a visit with one of our clergy? *
I/we grant Christ Church in Short Hills permission to use photos of my child in publications including but not limited to our website, Facebook page, and local newspapers *
I/We do hereby authorize staff or representatives of Christ Church to seek emergency medical, dental, health or hospital Services for my child in the event of an emergency when I am unable to give such consent. *
By typing my name here I am electronically submitting my signature on this registration form *