Child Intake Form
Hello CUCC families! As we move further into 2019, we are updating our contact information for all of our children in Nursery, Sunday School, and Youth Group.

We are asking that all families complete one form per child. We understand that this is more time consuming for families with multiple children, but we feel this is the best way to have the most current information available for each child in our programs.

Email address *
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Birthday (MM/DD/YY) *
Your answer
Child's Grade *
Your answer
Does your child have any allergies? *
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