First Church Sandwich, UCC Church School & Youth Group Registration Form
Please include all children participating in First Church Faith Formation Programs this year.  If they are not in school, please indicate N/A.
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Adult #1 First Name *
Adult #1 Last Name *
Adult #1 Cell Phone *
Adult #1 Email *
Adult #2 First Name
Adult #2 Last Name
Adult #2 Cell
Adult #2 Email
Child #1 First Name *
Child #1 Last Name *
Child #1 Birthdate *
Child #1 Grade in Fall 2022 *
Child #1 School Attending in Fall 2022
Child #1 Any allergies/special needs? *
Child #1 If answer above is yes, please provide details here:
Child #2 First Name
Child #2 Last Name
Child #2 Birthdate
Child #2 Grade in Fall 2022
Child #2 School Attending in Fall 2022
Child #2 Any allergies/special needs?
Clear selection
Child #2 If answer above is yes, please provide details here: *
Child #3 First Name
Child #3 Last Name
Child #3 Birthdate
Child #3 Grade in Fall 2022
Child #3 School Attending in Fall 2022
Child #3 Any allergies/special needs?
Clear selection
Child #3 If answer above is yes, please provide details here:
Child #4 First Name
Child #4 Last Name
Child #4 Birthdate
Child #4 Grade in Fall 2022
Child #4 School Attending in Fall 2022
Child #4 Any allergies/special needs?
Clear selection
Child #4 If answer above is yes, please provide details here:
Will you grant permission for photos  of your child(ren) and/or youth to appear, without their complete name/address,  on First Church publications, including website, Facebook, Zoom, and YouTube.  (If no, please provide current photos to office) website? * *

By completing this form I give permission for my child(ren)/youth to participate in First Church Faith Formation programs. *
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