The Lil Sphere at NAPC Preschool Ministry Registration 2019-2020
INFANT through PRE-K
Please complete this form to register your child for the Preschool Ministry at North Avenue Presbyterian Church. We ask that you complete one registration form per child every year so that we can keep detailed and accurate information about each child as they participate in our program.

Thank you! We look forward to partnering with you as we engage our children in a deeper relationship with Jesus.
Child's Last Name *
Child's First Name *
Name Child Goes By (if different from first name)
Child's Birth-date *month/day/year *
Child's Gender *
Child's Age as of September 1, 2019 *
Class *
Parent/Guardian Full Name *
Street Address *
City, State, Zip *
Phone Number *
Parent/Guardian E-mail Address (We will e-mail all further communication about North Avenue) *
Children's Choir
Does your child have any allergies or conditions that would affect their participation? *
Please list any allergies or conditions that would affect your child's participation.
Emergency Contact Name *
Emergency Contact Relationship *
Emergency Contact Phone Number *
Please check the following boxes: *
I will volunteer *
Signature (Please type your name as your signature.) *
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