Children's Registration Form
This is the Registration Form for the 2018-2019 School Year. For more information about Children's programs at St. Teresa's, contact Meg Jones (
Grade for 2018-2019 School Year
Parent's Name (s)
Home Address (if different)
Parent Cell Phone (s)
Sibling (s) & Ages
Any food allergies?
Any medical info?
People over the age of 16 authorized to pick up your child
Permission for Photographing your child
We like to take pictures at St. Teresa's to use on our website, in our newsletters, or on our bulletin boards. We won't give any specific information about your child. We will never sell these pictures, and we'll only use them at St. Teresa's.
Yes! I grant permission to take pictures of my child
No! Please do not take pictures of my child
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This form was created inside of St. Teresa's Episcopal Chuch.
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