Kids' Registration
Please fill out this form and click submit.
Child's name
*
Name of parent(s) or guardian(s)
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
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MD
ME
MH
MI
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MT
NB
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PA
PE
PR
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QC
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TN
TX
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VT
WA
WI
WV
WY
YT
Email of parent(s) or guardian(s)
*
This address will receive a confirmation email
Phone number of parent(s) or guardian(s)
*
Child's birthdate
*
Grade in school
I am registering my child for
*
Please select all that apply.
9:15 AM Preschool Sunday School (2-PreK)
9:15 AM Elementary Sunday School (K-5th)
10:30 AM Nursery (birth-2)
10:30 AM Junior Church (3-K)
I authorize my infant or preschool child to be released to the following individuals (in addition to myself and my spouse)
Life-threatening allergies
I give the above child permission to take part in all Christ Presbyterian Church activities, including planned and supervised outings. In the event of an emergency, I give Christ Presbyterian Church staff permission to administer first aid and to have my child transported to the nearest medical facility.
*
Please select all that apply.
Checked box grants permission
Name of parent or guardian completing the form
*
Parent/guardian signature
*
Please select all that apply.
checked forms are considered signed
Submit
Description
Please fill out this form and click submit.
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