First Congregational Church Faith Formation Registration
Please complete the information below so that we have important and accurate information about the children attending our nursery and Sunday school. Hard copies of this form can be given upon request.

Thank you for involving your family in our Faith Formation program! Let me know if you have any questions or concerns!

Andrew Laro
Director of Faith Formation
203-323-0200 ext. 12

Parent(s)/Caretaker(s) first and last name: *
Your answer
Preferred email address: *
Your answer
Preferred phone number: *
Your answer
Is the above phone number a cell phone? *
What is/are the best method(s) to contact you? Check all that apply. *
Does FCC have permission to post photographs of your child online (e.g., Facebook page, FCC Website) and use photographs of your children in promotional materials (e.g., New Families Brochure)?
Please fill out one section for each child.
What is your child's name? *
Your answer
What is your child's age? *
Your answer
Gender *
When is their birthday? *
Please list and/or describe any allergies or medical concerns your child has:
Your answer
Is there anything else about your child that I should know?
Your answer
Do you need to register another child? *
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