Children And Youth Registration Form

Parent/Guardian Information

Please complete a registration form for each child/youth.

Parent/Guardian Information

Name:

Relationship *

Name

Relationship *

Address Line 1 *

Address Line 2

City, State, Zip *

Preferred Parent Email Address *

Home Phone Number *

Cell Phone Number For Emergencies

I Give Permissions For Child To Participate In Church School Programs At The Redeemer *

Photos Of Children And Youth Are Occasionally Used In-House (No Names Published). Check This Box If You DO NOT Give Permission For The Redeemer To Use This Child's Photograph (Without Name) Within The Parish.

1st Child Information

2nd Child Information

Name

Preferred Nickname

Birth Date

Age As Of 9/1/19

Baptized?

Would This Child Like To Be Confirmed?

School

Grade As Of 9/1/19

Food Allergies Or Other Health Concerns

Special Interests

Interested In Choir

Learning Needs

People Authorized For Pickup

Student's Email

Parent's Email

I Give Permission For Child To Participate In Church School Programs At The Redeemer *

I DO NOT Give Permission For The Redeemer to Use This Child's Photograph (Without Name) In Parish

2nd Child Information

3rd Child Information

Name

Preferred Nickname

Birth Date

Age As Of 9/1/19

Baptized?

Would This Child Like To Be Confirmed?

School

Grade As Of 9/1/19

Food Allergies Or Other Health Concerns

Special Interests

Interested In Choir

Learning Needs

People Authorized For Pickup

Student's Email

Parent's Email

I Give Permission For Child To Participate In Church School Programs At The Redeemer *

I DO NOT Give Permission For The Redeemer to Use This Child's Photograph (Without Name) In Parish

3rd Child Information

4th Child Information

Name

Preferred Nickname

Birth Date

Age As Of 9/1/19

Baptized?

Would This Child Like To Be Confirmed?

School

Grade As Of 9/1/19

Food Allergies Or Other Health Concerns

Special Interests

Interested In Choir

Learning Needs

People Authorized For Pickup

Student's Email

Parent's Email

I Give Permission For Child To Participate In Church School Programs At The Redeemer *

I DO NOT Give Permission For The Redeemer to Use This Child's Photograph (Without Name) In Parish

Contact Details

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Children And Youth Registration Form

Parent/Guardian Information

Parent/Guardian Information

1st Child Information

2nd Child Information

2nd Child Information

3rd Child Information

3rd Child Information

4th Child Information

Contact Details

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