2017-18 Third Presbyterian Church Children's Ministry Registration Form
Please use this form to register your children for the 2017-18 Program Year.
You can register up to 4 children for Sunday School and Qabats with just one form!

Families who register for Qabats will receive additional information at a Qabats parent meeting to be held in September (date TBD). Please note that Qabats begins on Wednesday, October 4, and continues through the mid-April in preparation for the April 22nd Children's Musical. The Glorious Voices and the Junior Choir meet as part of the Qabats program. Families participating in Junior Choir will receive additional information at their first rehearsal on Rally Day, September 10 at 9am.

For any additional questions, please contact Becky D'Angelo-Veitch at rveitch@thirdpresbyterian.org or 271-6537 ext. 118 or Mary Ann Rutkowski at mrutkowski@thirdpresbyterian.org or 271-6537 ext. 101.

Household Information
Family Name *
ex. Smith
Your answer
Parent(s) Name(s) *
First name(s). Include last name only if different from family name.
Your answer
Address *
ex. 4 Meigs Street, Rochester, NY 14607
Your answer
Phone Number *
ex. 555-867-5309
Your answer
Household e-mail address *
We use e-mail as our primary means of communication including: children's ministry newsletters, information on special events and emergency cancellations
Your answer
Child #1
Please complete the following information on your oldest child in the Children's Ministry program (up to sixth grade)
Child #1 Name *
"Jane" or "Jane Doe" if child has a different last name
Your answer
Child #1 Birthday *
MM/DD/YYYY
Your answer
Child #1 Grade for 2017-18 year *
Child #1 - Any allergies/conditions we should be aware of? *
Food Reactions, Physical Limitations, ADD/ADHD, or None
Your answer
Child #1 - Do you want to sign up for Qabats? *
Qabats is our Wednesday evening program for children in 1st -6th grade. As part of the Qabats program, 1st & 2nd graders sing in the Glorious Voices, and 3rd-6th graders sing in the Junior Choir. Please note there is a fee for Qabats which primarily pays for meals. Youth and Qabats fees will NOT be combined this year. This year's fee is $95 for 1 child, $155 for 2 children, and $210 for 3+ children. This fee covers all children in your family in the r Qabats programs.**Please note: Cost of t-shirts for the children's musical and a copy of the Musical DVD are included in the Qabats fee. If you register for Qabats, please remember to bring a check for your $35 deposit on Rally Day. Scholarship assistance is available.
Child #1 - Do you want to sign up for Children's Bell Choir? (priority given 4th-6th graders)
Rehearsals are Wednesdays from 5:00-5:30pm on days when Qabats meets from October through December only this year (to accommodate children's musical rehearsals beginning in January).
Child #2
Please complete the following information on your next oldest child in the Children's Ministry program (up to sixth grade) if applicable.
Child #2 Name
"Jane" or "Jane Doe" if child has a different last name
Your answer
Child #2 Birthday
MM/DD/YYYY
Your answer
Child #2 Grade for 2017-18 year
Child #2 - Any allergies/conditions we should be aware of?
Food Reactions, Physical Limitations, ADD/ADHD, or None
Your answer
Child #2 - Do you want to sign up for Qabats?
Qabats is our Wednesday evening program for children in 1st -6th grade. As part of the Qabats program, 1st & 2nd graders sing in the Glorious Voices, and 3rd-6th graders sing in the Junior Choir. Please note there is a fee for Qabats which primarily pays for meals. Youth and Qabats fees will NOT be combined this year. This year's fee is $95 for 1 child, $155 for 2 children, and $210 for 3+ children. This fee covers all children in your family in the r Qabats programs.**Please note: Cost of t-shirts for the children's musical and a copy of the Musical DVD are included in the Qabats fee. If you register for Qabats, please remember to bring a check for your $35 deposit on Rally Day. Scholarship assistance is available.
Child #2 -Do you want to sign up for Children's Bell Choir? (priority given 4th-6th graders)
Rehearsals are Wednesdays from 5:00-5:30pm on days when Qabats meets.
Child #3
Please complete the following information on your next oldest child in the Children's Ministry program (up to sixth grade) if applicable.
Child #3 Name
"Jane" or "Jane Doe" if child has a different last name
Your answer
Child #3 Birthday
MM/DD/YYYY
Your answer
Child #3 Grade for 2017-18 year
Child #3 - Any allergies/conditions we should be aware of?
Food Reactions, Physical Limitations, ADD/ADHD, or None
Your answer
Child #3- Do you want to sign up for Qabats?
Qabats is our Wednesday evening program for children in 1st -6th grade. As part of the Qabats program, 1st & 2nd graders sing in the Glorious Voices, and 3rd-6th graders sing in the Junior Choir. Please note there is a fee for Qabats which primarily pays for meals. Youth and Qabats fees will NOT be combined this year. This year's fee is $95 for 1 child, $155 for 2 children, and $210 for 3+ children. This fee covers all children in your family in the r Qabats programs.**Please note: Cost of t-shirts for the children's musical and a copy of the Musical DVD are included in the Qabats fee. If you register for Qabats, please remember to bring a check for your $35 deposit on Rally Day. Scholarship assistance is available.
Child #3 - Do you want to sign up for Children's Bell Choir? (priority given 4th-6th graders)
Rehearsals are Wednesdays from 5:00-5:30pm on days when Qabats meets.
Child #4
Please complete the following information on your next oldest child in the Children's Ministry program (up to sixth grade) if applicable.
Child #4 Name
"Jane" or "Jane Doe" if child has a different last name
Your answer
Child #4 Birthday
MM/DD/YYYY
Your answer
Child #4 Grade for 2017-18 year
Child #4 - Any allergies/conditions we should be aware of?
Food Reactions, Physical Limitations, ADD/ADHD, or None
Your answer
Child #4- Do you want to sign up for Qabats?
Qabats is our Wednesday evening program for children in 1st -6th grade. As part of the Qabats program, 1st & 2nd graders sing in the Glorious Voices, and 3rd-6th graders sing in the Junior Choir. Please note there is a fee for Qabats which primarily pays for meals. Youth and Qabats fees will NOT be combined this year. This year's fee is $95 for 1 child, $155 for 2 children, and $210 for 3+ children. This fee covers all children in your family in the r Qabats programs.**Please note: Cost of t-shirts for the children's musical and a copy of the Musical DVD are included in the Qabats fee. If you register for Qabats, please remember to bring a check for your $35 deposit on Rally Day. Scholarship assistance is available.
Child #4--Do you want to sign up for Children's Bell Choir? (priority given 4th-6th graders)
Rehearsals are Wednesdays from 5:00-5:30pm on days when Qabats meets.
The final stretch. . .
Emergency information, volunteer opportunities and feedback. . .
Emergency Contact
helpful for all, but only mandatory for families participating in Qabats
Your answer
Emergency Contact Phone Number
ex. 555-867-5309
Your answer
I can help in Sunday School as a *
Required
Have you signed up for Remind.com yet? (remind is the service that we use to send reminder texts to families about schedule changes, event reminders and emergency cancellations)
Submitted by *
Your answer
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