Church School Registration

Church of Christ, Congregational - Newington, CT

Childs Name *

Grade *

Address *

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Email Address *

Mobile Phone *

Home Phone

Birthdate *

Baptism Date

Baptism Location

Allergies *

Does your child have any allergies (especially food)

Special Needs *

Does your child have any special needs or concerns we should be aware of?

Describe any Allergies or Special Concerns:

Photo Permissions *

Please check if you GIVE permission to publish photos of your child publically (i.e., facebook, website, other media, etc.)

Please check if you GIVE permission to use photos of your child in the classroom only.

Please check if you DO NOT give permission to publish photos publically of your child (i.e., facebook, website, other media, etc.)

Please check if you DO NOT give permission to use photos of your child in the classroom only.

Classroom Volunteer

Please check if you are interesed in helping in a classroom if needed.

Special Interests/Skills

Please list any special interests/skills that your child may have. (i.e., art, music, etc.)

Parent/Guardian Signature *common.clear