CHILDREN AND YOUTH ANNUAL ENROLLMENT

To enroll your children, preschool through 5th grade, in our education class (Kids' Sunday Adventure) or Confirmation Class, Middle School (grades 6-8), please fill in the following information and click on "Submit" at the bottom of this page.

Only one form per household is necessary.

PARENT / GUARDIAN INFORMATION

Adult #1: 

Full Name:                   

Preferred Email:          

Primary Phone:           

Home Address:          

Adult #2:

Full Name:                   

Preferred Email:          

Primary Phone:           

Home Address:          
(if different)

CHILD(REN) INFORMATION

Child #1:

Name:                             

DOB:                               

School:                            

Child's Email Address:    

Health Concerns We Should Know About:

Child #2:

Name:                             

DOB:                               

School:                            

Child's Email Address:    

Health Concerns We Should Know About:

Child #3:

Name:                             

DOB:                               

School:                            

Child's Email Address:    

Health Concerns We Should Know About: