2025-26 Christ Chapel Children's Ministry Registration Form
Please fill out this form and click submit.
Child's Name
*
Gender
*
Please select one option.
Male
Female
Date of Birth
*
Grade in School
*
Please select one option.
Preschool
Kindergarten
Ist Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Select Option
Preschool
Kindergarten
Ist Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Does you child have any allergies? (We serve snack in the younger classes)
Does your child have special needs or medical conditions?
Parent's Name
*
Email
*
This address will receive a confirmation email
Cell Phone
*
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
By registering my child for children’s ministry at Christ Chapel, I consent to their participation in this ministry and I give Christ Chapel permission to use my child’s photograph (without their name) in Christ Chapel publications, media, and website materials.
Please select all that apply.
Submit
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