SUNDAY SCHOOL AND YOUTH PROGRAM REGISTRATION 2026-2027
Katonah Presbyterian Church, 31 Bedford Rd, Katonah, NY 10536
We strive to provide a safe and loving environment for your child's faith to grow during our programming and events. Sunday school classes meet during 10am worship service for preschool through middle school-aged children. High school youth meet during specially scheduled times. Please help us to get to know your child(ren) so we can support them and your family! 
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Email *
PARENT/GUARDIAN NAME(S) Please include any parent/guardian who might pick up/drop off child: *
ADDRESS: *
EMAIL ADDRESS(ES): *
PHONE NUMBER(S): *
Please sign me up to receive youth event notifications and information:  *
If new, friends of your child(ren) at KPC:
1st Child's Name: *
1st Child's Date of Birth:  *
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1st Child's Grade: *
1st Child's Special Needs/Allergies/Medication Info/Other:
2nd Child's Name:
2nd Child's Date of Birth:
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2nd Child's Grade in School:
2nd Child's Special Needs/ Allergies/Medication Info/Other
3rd Child's Name:
3rd Child's Date of Birth:
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3rd Child's Grade in School:
3rd Child's Special Needs/Allergies/Medication Info/Other
If additional children, please enter their information below:
Children through 5th grade must be signed out by a parent, guardian, or designated adult. Who can sign-out your child(ren) 5th grade and under? Please include names and cell phone numbers.  *
Name and Cell Number of Emergency Contact 1: *
Name and Cell Number of Emergency Contact 2: *
Media Release: Understanding that no names will be shared, I give Katonah Presbyterian Church permission to take my child(ren)'s photograph during church activities and use it for communication purposes, such as bulletin boards, Pres Notes, church website and social media pages, local newspapers, etc.  *
For Middle and High School only: I give Katonah Presbyterian Church youth leaders permission to communicate with my child(ren) by text or email to share program information and to coordinate events. I understand that I will be copied on any text or email communications between youth leaders and my child(ren). 
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Cell Phone Number(s) and/or email for Middle and High School students (a parent/guardian will be copied on all test or email communications): 
By typing my full name below, I verify that all the information and permissions on this form are correct.  *
A copy of your responses will be emailed to the address you provided.
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