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Church School Registration
Family's Last Name (or Names)
*
Parent/Guardian Name 1
*
Address
Street Address
City
State
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Alaska
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Connecticut
Delaware
District of Columbia
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Mobile
*
Preferred Email
*
Talents/Hobbies/Skills to Share
Parent/Guardian Name 2
Address
Street Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Mobile
Preferred Email
Talents/Hobbies/Skills to Share
Child Name 1
*
Date of Birth
*
Date Format: MM slash DD slash YYYY
Grade Level in Fall 2020
*
Nursery (0-3 years old)
Preschool
Young 5s
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Mobile
Preferred Email
Child Name 2
Date of Birth
Date Format: MM slash DD slash YYYY
Grade Level in Fall 2020
Nursery (0-3 years old)
Preschool
Young 5s
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Mobile
Preferred Email
Child Name 3
Date of Birth
Date Format: MM slash DD slash YYYY
Grade Level in Fall 2020
Nursery (0-3 years old)
Preschool
Young 5s
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Mobile
Preferred Email
Child Name 4
Date of Birth
Date Format: MM slash DD slash YYYY
Grade Level in Fall 2020
Nursery (0-3 years old)
Preschool
Young 5s
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Mobile
Preferred Email
Any medical, dietary or family info that the Teacher should know?
*
Yes.
No.
Please provide important information.
Photo Release
*
I give permission to allow pictures and videos of my child to appear in publications and/or on our website.
I do not give permission for pictures or videos of my child to appear in publications or on the website.
Last names of children will not be used in any publication.
Permissions
*
I authorize delivery of program materials.
Yes
No
Times delivery may be made
*
Select all time slots that work for you.
Noon - 5 p.m. on Tuesday September 8th
9 a.m.-Noon on Wednesday, September 9th
Noon-5 p.m. on Wednesday, September 9th
9 a.m.-Noon on Thursday, September 10th
Noon-5 p.m. on Thursday, September 10th
6 p.m.-9 p.m. on Thursday, September 10th
Delivery Date that
First Choice
Second Choice
Third Choice
Special Delivery Instructions
Emergency contact name
*
Relationship to Child
*
Mobile
*
Would you like to receive the weekly Church School News email?
Yes.
No.
What email address(es) would you like the Church School News email sent to?
Would you like to receive church-wide email communications?
Yes.
No.
What email address(es) would you like church-wide communications sent to?
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