Other emergency contact (name, relation, and phone number)
Your answer
Name of anyone else who has permission to pick up your child
Your answer
Please list any allergies (including food restrictions) or other medical concerns *
Your answer
Is there anything we need to know in order for us to create a space that is welcoming for your child?
Your answer
What interests your child most about God, Jesus, Faith, or the Church?
Your answer
MEDIA RELEASE: We will occasionally take pictures or videos that may be posted on the church website, YouTube, and Facebook page. No names of children/youth will be used in the postings. *
A copy of your responses will be emailed to the address you provided.