2024-2025 Children & Youth Programming
Please fill out this form and click submit.
Parent Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Name of Child/Youth 1
*
Birthdate of Child/Youth 1
*
Grade Child/Youth 1
*
Please select one option.
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
I am registering child/youth 1 for
*
Please select all that apply.
Sunday School
Youth Group
Children/Youth Choirs
Confirmation
Please select all that apply.
Name of Child/Youth 2
Birthdate of Child/Youth 2
Grade of Child/Youth 2
Please select one option.
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
I am registering Child/Youth 2 for
Please select all that apply.
Sunday School
Youth Group
Children/Youth Choirs
Confirmation
Please select all that apply
Name of Child/Youth 3
Birthdate of Child/Youth 3
Grade of Child/Youth 3
Please select one option.
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
I am registering Child/Youth 3 for
Please select all that apply.
Sunday School
Youth Group
Children/Youth Choir
Confirmation
Please select all that apply
Photos and videos of my child(ren)/youth(s) may be used by Christ Church (website, emails, social media etc.)
*
Please select all that apply.
Yes
No
Please share any allergies or health related concerns we should know about:
Would you be interested in helping with Sunday School, Youth Group, or other Children & Youth Programming?
*
Please select one option.
Yes
No
Maybe
Submit
Description
Please fill out this form and click submit.
×
Please Fix the Following