2026-2027 Registration Family Ministries Programs
Children & Youth Programming Registration for 
St Andrew's Episcopal Church
Ages 6 months through 12th grade
Please register each child individually. 
Contact Kristy Campagna (Kristy@StAndrewsChesCo.org) with any questions. 
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Child's First and Last Name (one form per child) *
Prefers to be called (if different from above)
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Age as of 9/1/2026 *
Child's grade in the fall 2026 *
School child is attending *
Are you interested in Confirmation class for your child (for 9th-12th grade, typically offered every 2 years)?
Please list and allergies your child has that we should be aware of. 
Please list any learning  challenges your child may face that we should be aware of. 
Do you consent for your child to be photographed and images to be shared via St Andrew's website and social media channels? *
Parent/ Guardian Names  *
Parent / Guardian email address 
(list all you would like communications to be sent)
 *
Parent/ Guardian Phone Number 
(list all that are applicable)
 *
(Optional) Email address of youth (grades 6-12) that you would like communications set
Are you interested in volunteering? 
(please check all that you may be interested in assisting with)
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