Request edit access
St. Andrew's Children's Chapel Registration
Please fill out the registration form below to register your children for our Children's Chapel program. We will also be holding formation hour after church four our young people. We are looking forward to a fantastic year with your amazing children.
Email address *
Parent/Guardian's Name *
Your answer
3. Home Address *
Your answer
4. Parent's Phone Number *
Your answer
5. Are you a registered member of St. Andrew's? *
Required
6. If you are not a registered member of St. Andrew's , would you like to receive more information about our parish?
7. Child's First Name *
Your answer
8. Child's Last Name *
Your answer
9. Child's Age *
10. Is this child baptized?
11. Are there any special instructions, medical conditions, or allergies we should know about? Please list them below. *
Your answer
12. What grade is your child entering in September 2018 (if you are only registering one child please skip down to *
2nd Child's First Name
Your answer
2nd Child's Last Name
Your answer
2nd Child's Age
What grade is this child entering in September 2018?
Is this child baptized?
Are there any special instructions, medical conditions, or allergies we should know about? Please list them below.
Your answer
3rd Child's First Name
Your answer
3rd Child's Last Name
Your answer
3rd Child's Age
What grade is this child entering in September 2018?
Is this child baptized?
Are there any special instructions, medical conditions, or allergies we should know about? Please list them below.
Your answer
4th Child's First Name
Your answer
4th Child's Last Name
Your answer
4th Child's Age
What grade is this child entering in September 2018?
Is this child baptized?
Are there any special instructions, medical conditions, or allergies we should know about? Please list them below.
Your answer
31. Please list 2 emergency contacts for your child(ren). Please list names and phone numbers of those that we could reach in an emergency. *
Your answer
32. Do you consent for your child to have pictures taken and possibly posted on our social media channels? (Facebook, Instagram, Twitter) *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms