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Church School Registration Form
Thank you for filling in all the information. This will help us care for your child and family this year!
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* Indicates required question
Student First Name
*
Your answer
(Goes By) if differentÂ
Your answer
Student Last Name
*
Your answer
Student Gender
*
Your answer
Birth Date
*
MM
/
DD
/
YYYY
Student Email
Your answer
Name, Gender, Birthday of any siblings
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
ZIP
*
Your answer
Student Phone number
Your answer
Student's School
*
Your answer
Student's Grade
*
Your answer
Food Allergies
*
Your answer
Permission to use photos of student in church publications?
*
e.g. shot of the group in class for The Key
Yes
No
Anything else we should know to help care for your child?
Your answer
Parent 1 Name
*
Your answer
Parent 1 Email
*
Your answer
Parent 1 Phone
*
Your answer
Parent 2 Name
Your answer
Parent 2 Email
Your answer
Parent 2 Phone
Your answer
As a parent, I would like to help with:
Teaching Church School
Being a Sub on Sundays
Outreach Projects
Special Events
Social Gatherings
Praying for the Church School
Other:
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