Church School & Junior/Middle Youth Group Registration

Your Name (required)

Your Email (required)

Name(s) of Parent/Guardians (please separate each name with a semicolon)

Email Addresses of Parent/Guardians (please separate each address with a semicolon)

Cell Phone Numbers of Parent/Guardians (please separate each number with a semicolon)

PLEASE FILL OUT ONE TEXT AREA FOR EACH CHILD:

Name, grade level, and birth date of Child (Please use first and last names)

Name, grade level, and birth date of Child (Please use first and last names)

Name, grade level, and birth date of Child (Please use first and last names)

Name, grade level, and birth date of Child (Please use first and last names)

Name, grade level, and birth date of Child (Please use first and last names)

Name, grade level, and birth date of Child (Please use first and last names)

Are you interested in helping to teach Church School?

Do you want our choirmaster (Jeffrey Hoffman) to contact you about Children's Choir?

Is there any additional information that we should know?