The Sphere at NAPC Elementary Ministry Registration 2019-2020
Please register your child for the Great North Elementary Department at North Avenue Presbyterian Church by completing this form. When you have submitted the form, a confirmation should appear at the top of the form. Thank you!
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 *
Grade *
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) *
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.
Children's Choir *
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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