Child Registration 2018 - 2019 (0 through 5th grade)
Child's Name / Nickname/Preferred Name *
Your answer
Birth Date - please add correct birth year. *
MM
/
DD
/
YYYY
Mailing Address
Your answer
Parent/Guardian #1 Name and email *
Your answer
Parent/Guardian #1 phone - please indicate if home or cell. *
Your answer
Parent/Guardian #2 Name and email
Your answer
Parent/Guardian #2 home phone - please indicate if home or cell.
Your answer
What grade will your child be in this September? / Name of school
Your answer
I would Like more information on - check all that apply:
Would you like a call/meeting with your child’s leader or Family Ministry team member to discuss his/her learning style, particular needs, or for more information about our program?
I give permission and consent for photographs or video footage of my child(ren) to be published and used by St Francis Church to illustrate and promote St. Francis Church and/or its ministries. For the safety and security of your child, we will never print your child’s name with his/her photo or video. *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service