St. Michael's Church Children's and Youth Registration 2017-18
Please use this form to register your children for the Nursery, Sunday School, Youth Group and/ or Youth Choir at St. Michael's Episcopal Church, 225 W. 99th St., New York City. It should take you about 10 minutes to complete.

This form must be completed by a legal guardian of the child(ren) being registered.

CONTACT:
Andrea Dedmon, Director of Children's and Youth Ministries, with any questions about Youth Group, Sunday School or the Christmas Pageant: andrea@saintmichaelschurch.org
or
Dusty Francis, Youth Choirs' Director, with any questions about Youth Choirs: dfrancis@saintmichaelschurch.org

Thank you!

Child's Full Name
Your answer
Child's Preferred Name
Nickname
Your answer
Child's Date of Birth
(Month/ Day/ Year)
Your answer
Child's Gender
Your answer
Child's Grade (Fall 2017)
Your answer
Child's School
Your answer
This child has been
Do you give this child permission to leave St. Michael's on their own?
Child's e-mail address
Please note, St. Michael's will not share this information with anyone. It simply enables Sunday school teachers, clergy or St. Michael's staff to be in touch with your child.
Your answer
Child's cell phone
Please note, St. Michael's will not share this information with anyone. It simply enables youth leaders, clergy or St. Michael's staff to be in touch with your child.
Your answer
This child will participate in the following:
Required
Are there any events in your child's life which may interfere regularly with your child's regular attendance at any of the ministries for which you are registering them? If yes, please describe.
Your answer
Does your child have any food allergies? If yes, please describe.
Your answer
Does your child have any special needs or challenges which may arise in their participation at St. Michael's?
St. Michael's strives to be a community where all children can be their best selves. It is extraordinarily helpful for the adults leading the ministries in which your child participates to know ways in which they can best incorporate children with learning, behavioral, physical or emotional differences into the community. If you would prefer to discuss this in person with Andrea Dedmon, Dusty Francis or a member of the clergy, we encourage you to initiate that conversation prior to your child's first class/ rehearsal.
Your answer
Is there anything else you would like St. Michael's to know?
Your answer
Is there another child you would like to register?
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