Church School Registration 2020-21
Family Information
Parent 1 Name *
Parent 1 Cell Phone *
Parent 1 Email *
Parent 2 Name
Parent 2 Cell Phone
Parent 2 Email
Student's Primary Address *
City *
State *
Zip *
Do we have permission to use photos of your child/children in CSMSG online and print publications? *
Student 1
First Name *
Last Name *
Nickname
Date of Birth *
MM
/
DD
/
YYYY
Gender *
School Student Attends
Grade Level for 2020-21 *
Please list any allergies or health issues that could affect your child in a classroom setting. *
Student 2
First Name
Last Name
Nickname
Date of Birth
MM
/
DD
/
YYYY
Gender
Clear selection
School Student Attends
Grade Level for 2020-21
Clear selection
Please list any allergies or health issues that could affect your child in a classroom setting.
Student 3
First Name
Last Name
Nickname
Date of Birth
MM
/
DD
/
YYYY
Gender
Clear selection
School Student Attends
Grade Level for 2020-21
Clear selection
Please list any allergies or health issues that could affect your child in a classroom setting.
Student 4
First Name
Last Name
Nickname
Date of Birth
MM
/
DD
/
YYYY
Gender
Clear selection
School Student Attends
Grade Level for 2020-21
Clear selection
Please list any allergies or health issues that could affect your child in a classroom setting.
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