2022-2023 Student Registration Form
Please complete this portion of the application process to enroll a child in classes at St. Paul Early Childhood Ministry.  Registration is not complete and children are not formally enrolled until parents/guardians sign the Consent to Enroll form and submit a non-refundable deposit.
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Email *
Child's Full Name *
Registration for... *
Required
Date of birth *
MM
/
DD
/
YYYY
Gender at birth *
Street Address *
City *
Zip Code *
Church Membership *
Date of Child's Baptism
MM
/
DD
/
YYYY
Name of Biological Father *
Father's Employment *
Name of Biological Mother *
Mother's Employment *
Biological Parents are... *
Child lives with... *
Required
Names of child's caregivers (if not biological parents) and relationship to child
Names and Ages of Siblings
Home Phone Number
Cell Phone Number *
Work Phone Number
Email for Communications
Person to contact incase parents cannot be reached (include contact information and relationship to child). *
Child's experience *
Required
Name of previous/current school
Child is toilet trained (required before attending classes)
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