Huber Memorial Church School

Children's Church School

Student Registration Form 2024-2025
All children (Kindergarten to 5th Grade) are expected to attend Church School. Please fill out a registration form (one form per child.)
Child's Name*

First NameLast Name
Gender*

MaleFemale
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Apartment

CityState / Province

Postal / Zip Code
Has your child accepted Christ as Lord and Savior?

YesNo
Name of Parent/Guardian*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Does your child have any allergies?*

YesNo
If yes, please list.
Does your child have any special needs that the teachers should be aware of?*

YesNo
If yes, please explain.
Does your child have any dietary concerns?*

YesNo
If yes, please explain.
In case of emergency
Parent/Guardian responsible for child while in Church School?*

First NameLast Name
Relation*
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Apartment

CityState / Province

Postal / Zip Code
Should be Empty:

Children's Church School