2026 to 2027 Church School Registration Form

2026 to 2027 Church School Registration Form

Register your family for Church School. Complete details for up to 4 children per family. Please read all instructions.
Each family can use this form to register up to 4 children for Church School. (There is no separate Emergency Form.)

There is no "Fee" to register for Church School.
Number of Children to Register
Children Information
- Child 1: Full Name
  
  First NameLast Name
- Child 1: Grade
- Child 1: Date of Birth
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Child 1 Baptismal Name (1)
- Child 1 Name Day (1)
  Feast date (e.g., 'Jan 6'), or Feast name (e.g., 'Easter')
- Health conditions
  If not applicable, please write: 'NONE'
- Allergies
  If not applicable, please write: 'NONE'
- Health (other)
  If not applicable, please write: 'NONE'
- Child 2: Full Name
  
  First NameLast Name
- Child 2: Grade
- Child 2: Date of Birth
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Child 2 Baptismal Name (1)
- Child 2 Name Day (1)
  Feast date (e.g., 'Jan 6'), or Feast name (e.g., 'Easter')
- Health conditions
  If not applicable, please write: 'NONE'
- Allergies
  If not applicable, please write: 'NONE'
- Health (other)
  If not applicable, please write: 'NONE'
- Child 3: Full Name
  
  First NameLast Name
- Child 3: Grade
- Child 3: Date of Birth
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Child 3 Baptismal Name (1)
- Child 3 Name Day (1)
  Feast date (e.g., 'Jan 6'), or Feast name (e.g., 'Easter')
- Health conditions
  If not applicable, please write: 'NONE'
- Allergies
  If not applicable, please write: 'NONE'
- Health (other)
  If not applicable, please write: 'NONE'
- Child 4: Full Name
  
  First NameLast Name
- Child 4: Grade
- Child 4: Date of Birth
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Child 4 Baptismal Name (1)
- Child 4 Name Day (1)
  Feast date (e.g., 'Jan 6'), or Feast name (e.g., 'Easter')
- Health conditions
  If not applicable, please write: 'NONE'
- Allergies
  If not applicable, please write: 'NONE'
- Health (other)
  If not applicable, please write: 'NONE'
- Family Contact Information
- Family Email
  This email will be used for all Church School communications
- Home Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Home Address
  
  Street Address
  
  Street Address Line 2
  CityState / ProvincePostal / Zip Code
- Father Name (First and Last)
- Father E-mail
- Father Work Phone
  Please enter a valid phone number.Format: (000) 000-0000.
- Father Cell Phone
  Please enter a valid phone number.Format: (000) 000-0000.
- Mother Name (First and Last)
- Mother E-mail
- Mother Work Phone
  Please enter a valid phone number.Format: (000) 000-0000.
- Mother Cell Phone
  Please enter a valid phone number.Format: (000) 000-0000.
- Medical/Emergency Contact Information
- If the designated parties are not available, I understand appropriate emergency care deemed advisable by St. Nicholas school authorities or St. Nicholas youth advisors will be sought. Any special decisions appropriate to my child have been checked.
- Physician Name
- Physician Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Dentist Name
- Dentist Phone Number
- Preferred Hospital
- Emergency Contact 1
- Emergency Contact 1 Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Emergency Contact 2
- Emergency Contact 2 Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Emergency Contact 3
- Emergency Contact 3 Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Emergency Contact 4
- Emergency Contact 4 Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Person submitting this form
  
  First NameLast Name
- Is your family a Saint Nicholas member in good standing?
  You are a member in good standing if you have made a stewardship pledge for 2026.
- Today's Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- By clicking the "Submit" button below you acknowledge that
  - You are a parent of the above children.
  - The information provided in this form is true and accurate.
  Thank you for registering your childern for Church School!
Should be Empty:

2026 to 2027 Church School Registration Form

Children Information

Family Contact Information

Medical/Emergency Contact Information