MCC Registration for Children & Youth, 2021-2022

Registration for Children & Youth at MCC, 2021-2022
Date

Month Day Year
Date
Child 1

First Name Last Name
Grade Child 1 entering Fall '21
Child 2

First Name Last Name
Grade Child 2 entering Fall '21
Child 3

First Name Last Name
Grade Child 3 entering Fall '21
Child 4

First Name Last Name
Grade Child 4 entering Fall '21
Parent 1 Name
Parent 1 Email
example@example.com
Parent 1 Phone Number

Area Code Phone Number
Parent 2 Name
Parent 2 Email
example@example.com
Parent 2 Phone Number

Area Code Phone Number
I would love to lend a hand with the program! Please contact me for...

Teaching Sunday School Assisting Sunday School Advising Junior PF Providing supplies or snacks
Student(s) Mailing Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Any special needs/requests?
While participating in The Monroe Congregational Church, Inc's activities, programs and worship, my child(ren)/youth will be expected to demonstrate conduct befitting a covenant partner of this church and a disciple of Christ, to the best of their developmental and cognitive capabilities.
Agree Disagree
I hereby give The Monroe Congregational Church, Inc. permission to use my child(ren)’s/youth's name and photographic likeness in all forms and media for advertising, trade, and other lawful purposes.
Agree Disagree
Should be Empty:

Registration for Children & Youth at MCC, 2021-2022