Family Faith Development Registration
Please fill out this form and click submit.
General Information
Head of Household #1 Name
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Email Address
*
Cell Phone #
*
Head of Household #2 Name
Address (If Different from Head of Household #1)
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Email Address
Cell Phone #
How would you like to receive communications this year? Check all that apply.
*
Please select all that apply.
Email
Text
Snail Mail
Participants
Child #1 Preferred Name
*
Child #1 Pronouns
*
Please select one option.
She/Her/Her
He/Him/His
They/Them/Their
Ze/Zir/Zir
(Not Listed)
Child #1 Birthday
*
Child #1 Grade
*
Please select one option.
None - My Child is an Infant
None - My Child is a Toddler
Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
12th+ Grade (Transitional Program)
Select Option
None - My Child is an Infant
None - My Child is a Toddler
Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
12th+ Grade (Transitional Program)
Does this child have an allergy or disability that we should know about? If so, please tell us more here, or type "Call Me" if you would rather speak over the phone.
*
Child #2 Preferred Name
Child #2 Pronouns
Please select one option.
She/Her/Her
He/Him/His
They/Them/Their
Ze/Zir/Zir
(Not Listed)
Child #2 Birthday
Child #2 Grade
Please select one option.
None - My Child is an Infant
None - My Child is a Toddler
Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
12th+ Grade (Transitional Program)
Select Option
None - My Child is an Infant
None - My Child is a Toddler
Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
12th+ Grade (Transitional Program)
Does this child have an allergy or disability that we should know about? If so, please tell us more here, or type "Call Me" if you would rather speak over the phone.
Child #3 Preferred Name
Child #3 Pronouns
Please select one option.
She/Her/Her
He/Him/His
They/Them/Their
Ze/Zir/Zir
(Not Listed)
Child #3 Birthday
Child #3 Grade
Please select one option.
None - My Child is an Infant
None - My Child is a Toddler
Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
12th+ Grade (Transitional Program)
Select Option
None - My Child is an Infant
None - My Child is a Toddler
Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
12th+ Grade (Transitional Program)
Does this child have an allergy or disability that we should know about? If so, please tell us more here, or type "Call Me" if you would rather speak over the phone.
Child #4 Preferred Name
Child #4 Pronouns
Please select one option.
She/Her/Her
He/Him/His
They/Them/Their
Ze/Zir/Zir
(Not Listed)
Child #4 Birthday
Child #4 Grade
Please select one option.
None - My Child is an Infant
None - My Child is a Toddler
Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
12th+ Grade (Transition Program)
Select Option
None - My Child is an Infant
None - My Child is a Toddler
Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
12th+ Grade (Transition Program)
Does this child have an allergy or disability that we should know about? If so, please tell us more here, or type "Call Me" if you would rather speak over the phone.
Anything else we need to know about your child(ren) to keep them healthy and happy while in our care?
*
Questions of Curiosity
What programs would you like to see at First Church this year? For you and your children?
Family Faith Development runs on the time and energy of volunteers. Please tell us how you would like to be involved this year (check all options that interest you).
*
Please select all that apply.
Volunteering in the Classroom
Joining the Family Faith Development Team (Committee)
Leading family focused events.
Leading programs for parents / caregivers.
Volunteering during family focused events or parent / caregiver programs.
Watching over the VIP Lounge
Other (please elaborate in the comments)
Additional Comments?
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