Centre Church Faith Formation Registration 22-23

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Centre Congregational Church, UCC, Lynnfield, MA

Name of Youngest or Only Child *

Birthdate of Youngest or Only Child *

YYYY

Grade of Youngest or Only Child *

Name of Next Child (or Skip)

Birthdate of Next Child (or Skip)

YYYY

Grade of Next Child (or skip)

Name of Next Child (or Skip)

Birthdate of Next Child (or skip if n/a)

YYYY

Grade of Next Child (or skip)

Parent(s) Name(s) *

Parent Email *

Additional Parent Email (if applicable)

Address *

Call/Text me/us first at this phone number: *

Call/Text me/us second at this phone number: *

My child has an email address that you can use. I understand that I will be copied on any direct/singular correspondence with my child.

Someone(s) other than my child's parents has permission to bring them to church events and/or pick them up. These people and their phone numbers are listed here:

From time to time, we post pictures on bulletin boards at church and/or social media. We never use children's first and last names together in either case. If parents are on Facebook, we can tag you so that you can see it and if you ever object, we will remove it. Check which of the following apply:

Never use a picture of my child for any reason.

I give permission for my child's picture to be used as stated above.

I give permission for my child's picture to be used at church, but not social media.

I would like the church to ask my express permission before posting an individual photo of my child on social media, but group photos at events etc... are fine.

I have other desires that aren't covered above. I will list them in the comments.

I would like you to know the following information about my child's interests, learning style, family situation etc... When using this section, please be specific about which child you are referring to!

My child/children has/have the following allergies, medical conditions or other social/educational needs:

My children are interested in: *

Church School

Youth Group (generally Grades 4/5 and up)

Young Families Group

Required

The best way to reach me is: *

Phone

Mail

Text

Other:

Required

The best time to reach me is: *

Weeknights

Weekends

Weekdays

Other:

Required

I am interested in volunteering in the following ways:

I am interested in joining the Faith Formation Ministry Team. This team meets once per month for 90 minutes to plan programming and events. *

Yes

Maybe

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