Child #1 age 3-8th Grade (please include first and last names, date of birth, baptism date and grade) *
Your answer
Child #2 from age 3-8th Grade (please include first and last names, date of birth, baptism date and grade)
Your answer
Child #3 from age 3-8th Grade (please include first and last names, date of birth, baptism date and grade)
Your answer
Child #4 from age 3-8th Grade (please include first and last names, date of birth, baptism date and grade)
Your answer
Child #5 from age 3-8th Grade (please include first and last names, date of birth, baptism date and grade)
Your answer
Address *
Your answer
Phone number of primary contact (include name of primary contact) *
Your answer
Cell phone number and mobile carrier- mobile carrier is requested so we can send short text messages with important information. Use of text messages will be used for cancellations, important reminders, reminders of youth events, ect.
Your answer
Does your child have a cell phone number you would like the office to be aware of and be able to text reminders to? If so please add below the child's name, phone number, and carrier.
Your answer
Preferred e-mail address *
Your answer
Who to contact in case of an emergency (include phone number) *
Your answer
I am interested in helping in the following area(s): *
Required
Any additional information Education Staff should know (allergies, health concerns, or other useful information about your child)
Your answer
Do we have permission to use photographs/media of your family for the church website/facebook page and other church publications? *