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Church School Registration 2020-21
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* Indicates required question
Family Information
Parent 1 Name
*
Your answer
Parent 1 Cell Phone
*
Your answer
Parent 1 Email
*
Your answer
Parent 2 Name
Your answer
Parent 2 Cell Phone
Your answer
Parent 2 Email
Your answer
Student's Primary Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Do we have permission to use photos of your child/children in CSMSG online and print publications?
*
Yes
No
Student 1
First Name
*
Your answer
Last Name
*
Your answer
Nickname
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Prefer not to say
School Student Attends
Your answer
Grade Level for 2020-21
*
Preschool I (2-3 years old)
Preschool II (3-4 years old)
PreKindergarten (4-5 years old)
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Please list any allergies or health issues that could affect your child in a classroom setting.
*
Your answer
Student 2
First Name
Your answer
Last Name
Your answer
Nickname
Your answer
Date of Birth
MM
/
DD
/
YYYY
Gender
Male
Female
Prefer not to say
Clear selection
School Student Attends
Your answer
Grade Level for 2020-21
Preschool I (2-3 years old)
Preschool II (3-4 years old)
PreKindergarten (4-5 years old)
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Clear selection
Please list any allergies or health issues that could affect your child in a classroom setting.
Your answer
Student 3
First Name
Your answer
Last Name
Your answer
Nickname
Your answer
Date of Birth
MM
/
DD
/
YYYY
Gender
Male
Female
Prefer not to say
Clear selection
School Student Attends
Your answer
Grade Level for 2020-21
Preschool I (2-3 years old)
Preschool II (3-4 years old)
PreKindergarten (4-5 years old)
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Clear selection
Please list any allergies or health issues that could affect your child in a classroom setting.
Your answer
Student 4
First Name
Your answer
Last Name
Your answer
Nickname
Your answer
Date of Birth
MM
/
DD
/
YYYY
Gender
Male
Female
Prefer not to say
Clear selection
School Student Attends
Your answer
Grade Level for 2020-21
Preschool I (2-3 years old)
Preschool II (3-4 years old)
PreKindergarten (4-5 years old)
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Clear selection
Please list any allergies or health issues that could affect your child in a classroom setting.
Your answer
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