2021/2022 Riverside Community Church Annual Registration (Child)

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

2021/2022 Riverside Community Church Annual Registration (Child)

Please fill out one form per child. Information received is confidential and is gathered for the purposes of serving your child while in the care of Riverside Community Church. Any medical information collected serves to authorize Riverside Community Church, staff and volunteers, to obtain medical assistance in emergencies.

Sign in to Google to save your progress. Learn more

* Indicates required question

Child First Name *

Your answer

Child Last Name *

Your answer

Date of Birth *

MM

/

DD

/

YYYY

Parent(s)/Guardian Name (First & Last) *

Your answer

Parent(s)/Guardian Name (First & Last)

Your answer

Grade as of September 2021 *

Pre-K

JK

SK

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Next

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy