church school
Registration form

Church School Registration Form

Child 1:

First name

Last name

Nickname

Birthday

Month

Day

Year

Grade in September

Baptized

Child 2:

First Name

Last Name

Nickname

Birthday

Month

Day

Year

Grade in September

Baptized

Child 3:

First Name

Last Name

Birthday

Month

Day

Year

Grade in September

Baptized

Are you interested in learning about the Children's and Youth Choirs?

Yes please

Not at this time

Does your child play an instrument? Are you interested in learning about your child playing at St. E's events?

Yes please

Not at this time

If yes, what musical instrument(s) does your child(ren) play?

Parent / Guardian 1:

First and Last Name

Mobile Phone

Home Phone

Address

Parent / Guardian 2:

First and Last Name

Mobile Phone

Home Phone

Address

Waivers:

Are there any legal custody restrictions we should be aware of?

Please advise us of any accommodations, learning disabilities, food allergies, EpiPen, inhaler, or other conditions or issues to be aware of.

Photo and Publishing Permission: I agree to allow St. Elizabeth's Episcopal Church to use individual or group photographs of my child(ren) for related news articles, publications, website, social media, and/or advertisements.