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St. Christopher's Children's Formation Registration
Registration for Fall 2022 - Summer 2023
Please email
childrensministry@scpen.org
with questions.
* Indicates required question
Email
*
Your email
Parent/Guardian Name
*
Your answer
Is your contact information in the directory?
*
Yes
No
If No, please provide your email, phone number, and home address.
Your answer
Child's Name (#1)
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
School
*
Your answer
Grade for 2022-23 school year
*
Pre-K
K
1st
2nd
3rd
4th
5th
Other:
Allergies
Your answer
Other Helpful Information (illnesses, activity restrictions, etc.)
Your answer
Child's Name (#2)
Your answer
Date of Birth
MM
/
DD
/
YYYY
School
Your answer
Grade for 2022-23 school year
Pre-K
K
1st
2nd
3rd
4th
5th
Other:
Clear selection
Allergies
Your answer
Other Helpful Information (illnesses, activity restrictions, etc.)
Your answer
Child's Name (#3)
Your answer
Date of Birth
MM
/
DD
/
YYYY
School
Your answer
Grade for 2022-23 school year
Pre-K
K
1st
2nd
3rd
4th
5th
Other:
Clear selection
Allergies
Your answer
Other Helpful Information (illnesses, activity restrictions, etc.)
Your answer
Additional Children and their information
Your answer
Anticipated Attendance
*
Weekly
Biweekly
Monthly
Occasionally
When we are able to gather in person, I understand that Godly Play will begin at 10:00 am on Sundays and that the children will be returned to their parents in the church at approximately 11:05 during the service.
*
Yes
Required
When we are able to gather in person, I give permission for my child to participate in all St. Christopher's Christian Formation that takes place on the church campus, which may include walks around the church property with adult supervision.
*
Yes
No
I give permission for my child(ren) to have their photo taken and/or be videotaped for the purpose of St. Christopher's Public Relations projects, etc.
*
Yes
No
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