JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Church School Registration 2023-2024
Seeking God Together
Please contact the Children and Youth Deepening Team at cydeepening@upbrookline.org or Associate Pastor Amy Norton at amy@upbrookline.org with any questions.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Child's name
*
Your answer
What grade is the child in?
*
Choose
Nursery
Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade - Freshman
10th Grade - Sophomore
11th Grade - Junior
12th Grade - Senior
What are the child’s pronouns?
Your answer
When is the child’s birthday?
*
MM
/
DD
/
YYYY
What school does the child attend?
Your answer
Emergency contact name (parent/guardian)
*
Your answer
Emergency contact phone (parent/guardian)
*
Your answer
Emergency contact email (parent/guardian)
*
Your answer
Best form of contact for parent/guardian (select all that apply)
*
Phone
Email
Text
Required
Does your child take any regular medications?
Your answer
Allergy triggers and treatments (if none, write "None")
*
Your answer
Child’s cell phone (parents will be notified about any communication with child, and can request a copy/transcript of text exchanges at any time)
Your answer
Child’s email (parents will be cc'd on any emails to child)
Your answer
Music programming participation
*
My child will be participating in music programs
My child will not be participating in music programs
Unsure – please send more information
Does the child have an IEP or 504 plan that it would help our church school teachers to know about?
Your answer
Have there been any major life changes/significant events in the past year that pastoral staff should know about?
Your answer
Are there any other tips or information for how we can best accommodate and welcome this child?
Your answer
Does the child (6
th
grade and up) have permission to attend off-site, adult-supervised field trips?
Yes
No
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of United Parish of Brookline.
Report Abuse
Forms
