Children’s Registration Nursery – 4th Grade

Please join us on Sundays in the Good Shepherd Atrium, True Vine Atrium, Children’s Chapel and Kids Connection!

Parent(s) Name(s)*
Address*
Street Address City State ZIP Code
Cell Phone*
Home Phone
Preferred Phone:
Email*
Child Name 1:
First Last
Birth Date Child 1:
Date Format: MM slash DD slash YYYY
Grade Child 1:
Information for Child 1:
Allergies Special Concerns
Child Name 2:
First Last
Birth Date Child 2:
Date Format: MM slash DD slash YYYY
Grade Child 2:
Information for Child 2:
Allergies Special Concerns
Child Name 3:
First Last
Birth Date Child 3:
Date Format: MM slash DD slash YYYY
Grade Child 3:
Information for Child 3:
Allergies Special Concerns
Child Name 4:
First Last
Birth Date Child 4:
Date Format: MM slash DD slash YYYY
Grade Child 4:
Information for Child 4:
Allergies Special Concerns
We would love to have you volunteer! Which classroom would you like to help out in?
- Good Shepherd Atrium (age 3-6)
- True Vine Atrium (1st & 2nd Grade)
- Children's Chapel (3rd & 4th Grade)
- Kids Connection (3rd & 4th Grade)
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

Allergies	Special Concerns

Allergies	Special Concerns

Allergies	Special Concerns

Allergies	Special Concerns