St. Michael's Church Registration for Children & Youth 2018-19
Please use this form to register your children all ministries, choirs and childcare 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, the Nursery, Word Made Young or the Christmas Pageant: andrea@saintmichaelschurch.org
or
Dusty Francis, Youth Choirs' Director, with any questions about Youth Choirs: dfrancis@saintmichaelschurch.org

Thank you!

Email address *
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 2018) *
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? *
Youth e-mail address (6th-12th grades)
So that the adult leaders of your 6th-12th grader's registered activities can contact them regarding activities at St. Michael's. St. Michael's will not share this information with anyone else.
Your answer
Youth cell phone (6th-12th grades)
So that the adult leaders of your 6th-12th grader's registered activities can contact them regarding activities at St. Michael's. St. Michael's will not share this information with anyone else.
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?
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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