Religious Education Registration Form

Religious Education registration

Please submit a separate form for each child.

Name

This field is for validation purposes and should be left unchanged.

Child's Name(Required)

Child's Birthday(Required)

Child's School (if applicable)

Child's Allergies (if applicable)(Required)

Please list allergens, reactions, and what action we should take in an allergy event.

Behavioral/ Developmental Information(Required)

What should we know to provide the best care and learning environment possible?

Additional Information(Required)

Is there anything else you would like us to know about your child?

Name of Parent/ Guardian 1(Required)

First Last

Parent/ Guardian 1's Phone Number(Required)

Parent/ Guardian 1's Email(Required)

Parent/ Guardian's Address

Street Address Address Line 2 City State ZIP / Postal Code

Name of Parent/ Guardian 2

First Last

Parent/ Guardian 2's Phone

Parent/ Guardian 2's Email

Parent/ Guardian 2's Address

Street Address Address Line 2 City State ZIP / Postal Code

Do we have permission to photograph your child for use in the classroom, on the bulletin board, and/ or on social media?(Required)

Yes

No

Other

If other, please list in which instances your child's photograph may be used.

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