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* Indicates required question
Email
*
Your email
Name of parent(s)/guardian(s)
*
Your answer
Child's first name
*
Your answer
Child's last name
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Grade child is going into
*
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Child's gender
*
Your answer
Allergies or other medical conditions
Your answer
Media Consent
We will be taking pictures of activities throughout the week, do we have your permission to take photos of your child and post them on the church's social media?
Yes
No
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