All Saints' Episcopal Church Children and Youth Registration 2010-2011
Parents' Information
Mother's Name
Father's Name
Home Address
City
AZ
Zip Code
Email Address
Home Phone
Mother's Cell Phone
Father's Cell Phone
Information for All Saints'
Have you registered your child(ren) in our programming in previous years?
Yes
No
Would you be willing to:
Provide a snack or bring food
Assist in a classroom or with a group of children/youth
Help with Children's Chapel
Help with a special event
Drive for a special event
Help when and where needed
Would you like information on how your family can be more involved in:
Worship
Outreach
Fellowship
Children's Information: Please complete one section per child, age 4-18, being registered this year. If you have more than three children/youth to register, please contact Cristina Hatton, Director of Children and Family Ministries at 602.279.5539, ext. 116 or chatton@allsaints.org.
CHILD #1
Name
Date of Birth
Age
School
Grade
Baptized?
Yes
No
Where?
Email Address (if available)
Cell Phone (if available)
Known Allergies/Medical Problems
I give permission for my child's photo to be used for the purpose of All Saints' publications and/or on the Church's website. By checking here, I agree to the photo release and terms.
Checking here will serve as your parental/guardian signature consent.
I agree
CHILD #2
Name
Date of Birth
Age
School
Grade
Baptized?
Yes
No
Where?
Email Address (if available)
Cell Phone (if available)
Known Allergies/Medical Problems
I give permission for my child's photo to be used for the purpose of All Saints' publications and/or on the Church's website. By checking here, I agree to the photo release and terms.
Checking here will serve as your parental/guardian signature consent.
I agree
CHILD #3
Name
Date of Birth
Age
School
Grade
Baptized?
Yes
No
Where?
Email Address (if available)
Cell Phone (if available)
Known Allergies/Medical Problems
I give permission for my child's photo to be used for the purpose of All Saints' publications and/or on the Church's website. By checking here, I agree to the photo release and terms.
Checking here will serve as your parental/guardian signature consent.
I agree
*
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