2017-18 Child / Youth General Registration Form
Please read all of the information below:

This form is to register your child for activities of First Presbyterian Church of Granville.
Please be sure to go through all pages until you reach final submit button (not "continue").
There is a page for Child Information (General and Medical), Family Information (General and Emergency Medical Authorization), and Consents and Release.
Please fill out every page of the form until you click the final "submit" button (i.e. NOT "continue")

(MULTIPLE CHILDREN)
After completing entire form for first child and clicking submit, you will find a link to submit additional children. You will need to submit the Child information portion ONLY for each additional child. Then check the (MULTIPLE CHILDREN) box located under the headings "Parent/Guardian/Custodian Information", "Emergency Medical Information, Authorization, and Release", and "Release and Consent" if the information pertains to each additional child.

Your information will be kept secure and safe.

Child's Information
First Name
Your answer
Last Name
Your answer
Birth Date
MM
/
DD
/
YYYY
Shirt Size
Grade for 2017-18 school year
Best way(s) to contact child
Child's Cell
(If child does not have cellphone, leave blank)
Your answer
Child's E-mail
(If child does not have e-mail, leave blank)
Your answer
Instagram or Twitter Name
(If child is off social media, leave blank)
Your answer
Which programs will your child participate in this year?
Required
Medication Information
Allergies
including food and other (write "None" if none apply)
Your answer
Medications
if overnight trips are an option please include dosage amount and schedule
Your answer
Other current or historical medical concerns
(Asthma, Bee Sting, Convulsions, Penicillin or Sulpha Drug reactions, Cancer, Fainting, Kidney/Liver Problems, Diabetes, etc.)
Your answer
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