Glen Ridge Congregational Church           Church School Enrollment Form 2022-2023.  Please complete one form for each child.
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Child's First Name *
Child's Last Name *
Parent or Guardian Name #1 *
Cell # Parent or Guardian #1 *
Email *
Parent or Guardian Name #2
Cell # Parent or Guardian #2
Email
Street Address *
City, State and Zip *
Grade in Fall of 2022 *
Child's birthday *
Siblings (names, grades and ages)
My child may leave church with the following people (name and relationship): *
Allergies, medical information, other special considerations.
Photo Release - Please check each box to give your consent. *
Required
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