Praise School Registration
2023-2024
Child Information
How many children are you registering?
*
Please Select
1
2
3
4
Please register all of your children ages 3-12 that will be joining us.
First Child
Child's Name
*
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Current Grade
*
Please Select
Pre-K
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Please choose Pre-K for children younger than Kindergarten age.
Any Allergies or Medical Conditions/Medications that the staff should be aware of?
*
Yes
No
Medical Information: Please give details if answered yes above
Do you want to add something about your child?
Second Child
Child's Name
*
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Current Grade
*
Please Select
Pre-K
Kindergarten
Garde 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Please choose PreK for children younger than Kindergarten age.
Any Allergies or Medical Conditions/Medications that the staff should be aware of?
*
Yes
No
Medical Information: Please give details if answered yes above.
Do you want to add something about your child?
Third Child
Child's Name
*
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Current Grade
*
Please Select
Pre-K
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Please choose PreK for children younger than Kindergarten age.
Any Allergies or Medical Conditions/Medications that the staff should be aware of?
*
Yes
No
Medical Information: Please give details if answered yes above.
Do you want to add something about your child?
Fourth Child
Child's Name
*
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Current Grade
*
Please Select
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Please choose PreK for children younger than Kindergarten age.
Any Allergies or Medical Conditions/Medications that the staff should be aware of?
*
Yes
No
Medical Information: Please give details if answered yes above.
Do you want to add something about your child?
Parent/Guardian Contact Information
Parent/Legal Guardian Name 1
*
First Name
Last Name
Contact Phone Number 1
*
Format: (000) 000-0000.
Contact Email 1
*
example@example.com
Contact Address 1
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is the address above the same as the child(ren).
*
Yes
No
Emergency Contact 1 (other than parent/guardian listed above)
*
First Name
Last Name
Emergency Contact 1 Phone Number
*
Format: (000) 000-0000.
Relationship to child(ren)
Media Release
In order to share the good news of the mission and ministry of First United Church of Christ, we occasionally use images (photo/video) of students in classrooms or during special programs, or sent to us by parents/guardians. These images may be shared on church bulletin boards, newsletters, in local newspapers or other printed materials, on our website, social media (email communications, live-stream events, Facebook, Instagram, YouTube, etc.), or in presentations during worship. If you are comfortable with the use of your child(ren)’s and/or youth(s)’s images for these purposes, please indicate below.
I hereby give permission for First United Church of Christ to take and use images of my child(ren)/youth (photo or video) taken during church-related activities, or shared by me with staff, for church purposes only as described above. No children/youth will be identified by name. I understand that I will be contacted for special permission should any photo be considered for use other than described above.
*
I Agree
I Disagree
Medical/Liability Release
I undersigned, agree with the following statemnets:
*
In the event of an injury or illness, I give permission to the leaders and staff to secure necessary medical treatment for my child(ren) and I relieve them of any and all liability in such event, understanding that I will be contacted promptly if such a situation arises.
Parent/Guardian Covenant
I understand that many volunteer hands are needed. I covenant to use my gifts in some way this program year to support Praise School. As a partner in this ministry, I pledge to uphold and support my child’s involvement in all aspects of participation including supporting the Praise teachers in their efforts to teach this year.
Choose all that apply. I am interested in helping by being a:
Church School teacher (could be on a rotational basis)
Classroom helper ( could be asked to donate supplies, help with prep work, clean up after, supervise)
Member of the Christian Education Committee
I am not able to help at this time
Submit
Should be Empty: