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 *
Your answer
Child's First Name *
Your answer
Name Child Goes By (if different from first name)
Your answer
Child's Birth-date *month/day/year *
MM
/
DD
/
YYYY
Child's Gender *
Child's Age as of September 1, 2019 *
Your answer
Class *
Parent/Guardian Full Name *
Your answer
Street Address *
Your answer
City, State, Zip *
Your answer
Phone Number *
Your answer
Parent/Guardian E-mail Address (We will e-mail all further communication about North Avenue) *
Your answer
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.
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Relationship *
Your answer
Emergency Contact Phone Number *
Your answer
Please check the following boxes: *
Required
I will volunteer *
Required
Signature (Please type your name as your signature.) *
Your answer
Submit
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