Children & Youth Registration Christ Church Children & Youth Registration Parent(s) Name(s)*Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone*Home PhonePreferred Phone:CellHomeEmail* Child Name 1: First Last Birth Date Child 1: Date Format: MM slash DD slash YYYY Grade Child 1:NurseryThree'sJr. KindergartenSr. KindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeSeventh GradeEighth GradeNinth GradeTenth GradeEleventh GradeTwelfth GradeInformation for Child 1:AllergiesSpecial Concerns Child 1 Cell Phone, if applicable:Child 1 Email, if applicable: Child Name 2: First Last Birth Date Child 2: Date Format: MM slash DD slash YYYY Grade Child 2:NurseryThree'sJr. KindergartenSr. KindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeSeventh GradeEighth GradeNinth GradeTenth GradeEleventh GradeTwelfth GradeInformation for Child 2:AllergiesSpecial Concerns Child 2 Cell Phone, if applicable:Child 2 Email, if applicable: Child Name 3: First Last Birth Date Child 3: Date Format: MM slash DD slash YYYY Grade Child 3:NurseryThree'sJr. KindergartenSr. KindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeSeventh GradeEighth GradeNinth GradeTenth GradeEleventh GradeTwelfth GradeInformation for Child 3:AllergiesSpecial Concerns Child 3 Cell Phone, if applicable:Child 3 Email, if applicable: Child Name 4: First Last Birth Date Child 4: Date Format: MM slash DD slash YYYY Grade Child 4:NurseryThree'sJr. KindergartenSr. KindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeSeventh GradeEighth GradeNinth GradeTenth GradeEleventh GradeTwelfth GradeInformation for Child 4:AllergiesSpecial Concerns Child 4 Cell Phone, if applicable:Child 4 Email, if applicable: There are many ways to get involved with our Children & Youth at Christ Church. Please indicate which program you would like to volunteer for: Good Shepherd Atrium (age 3-6) True Vine Atrium (1st & 2nd Grade) Children's Chapel (3rd & 4th Grade) First Friday Faves (5th - 8th Grade) Soul Fuel (High School) Special Events (Wrap N Roll, Christmas Pageant, Pancake Supper, etc.) Christ Church from time to time takes photographs of classes and activities around the church. We use these photos to record our history and to illustrate church life, in e-mails, on Social Media or on our website. It is our policy not to identify any children by name in publications or on the website. If you do NOT give permission for photos of your children to be used in this way please check here. No Photos
