Kids and Youth Program Registration at First Church
Hello! We would like the opportunity to Thank You for registering your child for children's programs at the First Church. We provide several opportunities for education and enrichment. In addition, we have many fun community activities for our children and youth.  

Please fill out the form below, and we will place your child in the appropriate program. If you enrolling multiple children, please fill out the information for each individual child. We look forward to growing and learning with your child.

Thank You,

First Church CE&F MLT
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Your Email Address *
Child's Name *
Child's Birthdate *
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DD
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Child's Grade in School
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Does your child have any special needs (education, dietary, etc.) that we should be aware of? 
 *
(Second) Child's Name
(Second) Child's Age
(Second) Child's Grade in School
(Second) Child's Birthdate
MM
/
DD
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YYYY
Does your second child have any special needs (education, dietary, etc.) that we should be aware of? 
(Third) Child's Name
(Third) Child's Age
(Third) Child's Grade in School
(Third) Child's Birthdate
MM
/
DD
/
YYYY
Does your third child have any special needs (education, dietary, etc.) that we should be aware of? 
Do we have permission to responsibly use pictures or video of your child/children online?
 *
Guardian Name
 *
Guardian Phone
 *
Guardian Home Address *
I'm interested in the following programs:
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