Children's Registration
Please fill out a separate form for each child.
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Child's Last Name *
Child's First Name *
I Would Like My Child To Join:
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Child's Birthday *
What Age/Grade Is the Child Starting this Fall? *
Does the Child Currently Serve as an Acolyte? *
Mailing Address (street, city, state and zip) *
Address Listed Above Is *
Emergency Contact Person's Name (First and Last) *
Emergency Contact Number (include area code with dashes) *
Emergency Contact Person's Relationship To Child *
I Would Like To Volunteer In The:
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Email Address *
Names of Other Children Living at Home with ages (if applicable)
Additional Comments
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