Christ Church Cathedral Children's and Youth Program/Activity Registration
No matter what age, you and your children are important members of the Cathedral Family. We need information on everyone from our newest members in the nursery to our seniors in high school. The information will help us protect our children and stay in touch.
Email address *
Parent(s) Name(s): *
Your answer
Parent(s) Phone Number(s): *
Your answer
Additional Email Address (optional-additional parent email/youth email)
Your answer
Preferred Method of Contact:
Child's Name:
Your answer
Child's Date of Birth:
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Child's Grade:
Your answer
2nd Child's Name:
Your answer
2nd Child's Date of Birth:
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DD
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YYYY
2nd Child's Grade:
Your answer
3rd Child's Name:
Your answer
3rd Child's Date of Birth:
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DD
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YYYY
3rd Child's Grade:
Your answer
Mailing Address: *
Your answer
Please list any known allergies/sensitivities:
Your answer
Please describe any health concerns or special needs your child may have that will help our teachers and staff care for them.
Your answer
In case of emergency, if a parent cannot be reached, please provide an emergency contact name and phone number. *
Your answer
Please type your initials here if you do NOT give permission for photographs taken of your child/youth to be used by Christ Church Cathedral.
Your answer
Please type your initials here if you do NOT give permission for your child/youth to ride with Christ Church Cathedral volunteers or staff to activities off campus.
Your answer
Please indicate your permission by typing out your full name after this statement: I hereby give consent for my child to participate in Christian Formation and all other children's and youth activities at Christ Church Cathedral Mobile. I understand that all reasonable safety precautions will be taken by the program leaders during each activity. I agree not to hold Christ Church Cathedral Mobile, its leaders, employees, and volunteer staff liable for damages, losses, diseases, or injuries incurred by the minor listed on this form. *
Your answer
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