St. Paul's Children & Youth Ministry Registration | 2022-23 School Year
Please fill out even if you believe we already have your current information on file. We want to make sure everything is up to date. 

This one, consolidated form allows you to register multiple children and youth for formation and ministry opportunities for the 2022-23 program year. Each parent/guardian will be added to our family ministry newsletter distribution list.

Please allow a few minutes to complete this form; it's a little long.

All personal data will be kept confidential. Please contact Linda Willis with any questions: lwillis@stpaulsrva.org or 804-545-5410.
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Child/Youth Full "legal" Name *
Name Preferred to be Called *
Mailing Address (including City, State & Zip) *
Cell Phone of child/youth with area code (if applicable)
Email of child/youth (if applicable)
Gender / Pronouns *
Date of Birth *
MM
/
DD
/
YYYY
School *
Grade in 2022-23 School Year *
My child/youth belongs in the following age group: *
This Child/Youth is baptized
Clear selection
Is there any additional information (allergies, dietary restrictions, etc.) you would like to share about your young person? 
Do you have any other children or youth you'd like to enroll?
 *
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