Registration Form for Nursery & Children's Classes 2023-2024
This registration form is for families with children from birth through grade 6. Thank you for taking the time to complete the form! We need a new registration form on file each year.

There is space to include two parents/guardians and up to four children. If you have additional information to share, please email The Rev. Rebecca Kirkpatrick: rkirkpatrick@trinitychurchindy.org.
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Email *
Name of Parent/Guardian #1 *
Email of Parent/Guardian #1 *
Would Parent/Guardian #1 like to be on email lists to receive information about programming?
Clear selection
Phone number of Parent/Guardian #1 *
Can this phone number receive text messages?
Clear selection
Home Address of Parent/Guardian #1
Birthday of Parent/Guardian #1 (month and day only)
Name of Parent/Guardian #2
Email of Parent/Guardian #2
Would Parent/Guardian #2 like to be on email lists to receive information about programming?
Clear selection
Phone number of Parent/Guardian #2
Can this phone number receive text messages?
Clear selection
Home Address for Parent/Guardian #2 (if different)
Birthday of Parent/Guardian #2
Name of Child #1
Birthdate of Child #1 (month/day/year)
Where does Child #1 go to school?
What grade will Child #1 be entering the fall of 2023?
Clear selection
Allergies or extra needs of Child #1
What else would you like us to know about Child #1?
Name of Child #2
Birthdate of Child #2 (month/day/year)
Age of Child #2
Where does Child #2 go to school?
What grade will Child #2 be entering the fall of 2023?
Clear selection
Allergies or extra needs of Child #2
What else would you like us to know about Child #2?
Name of Child #3
Birthdate of Child #3 (month/day/year)
Age of Child #3
Where does Child #3 go to school?
What grade will Child #3 be entering the fall of 2023?
Clear selection
Allergies or extra needs of Child #3
What else would you like us to know about Child #3?
Name of Child #4
Birthdate of Child #4 (month/day/year)
Age of Child #4
Where does Child #4 go to school?
What grade will Child #4 be entering the fall of 2023?
Clear selection
Allergies or extra needs of Child #4
What else would you like us to know about Child #4?
Which volunteer roles most interest Parent/Guardian #1?
Which volunteer roles most interest Parent/Guardian #2?
Pictures and/or videos taken at Trinity events and programs may be used on our church's promotional materials, including our website, social media page, emails, or newsletters. Children will never be identified by name. If you would NOT like pictures of your child/children used on Trinity's promotional materials, please check the box below.
A copy of your responses will be emailed to the address you provided.
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