Church School or Youth Group Registration Form

Rally Day is on September 8 and worship starts at 10 am.

 
Child's Name *
Child's Name
Address
Address
Date of Birth
Date of Birth
Parent/Guardian 1 information
Name of Parent/Guardian 1 *
Name of Parent/Guardian 1
Address of Parent/Guardian 1 *
Address of Parent/Guardian 1
Parent/Guardian 1 phone *
Parent/Guardian 1 phone
Parent/Guardian 2 information
Name of Parent/Guardian 2
Name of Parent/Guardian 2
Address of Parent/Guardian 2
Address of Parent/Guardian 2
Parent/Guardian 2 Phone
Parent/Guardian 2 Phone
IN CASE OF EMERGENCY
EMERGENCY CONTACT PERSON
EMERGENCY CONTACT PERSON
Emergency Contact Phone
Emergency Contact Phone
Are you registering for Youth Group only?
Youth Group grade 6 though 12, usually meet on the First and second sunday of the month at 11:30 am (September -June)
Siblings attending?
Photo release *
As the parent or guardian of the above mentioned child, I give Quincy Point Congregational Church the unrestricted right to publish and otherwise use photographic reproductions of likeness of my child/charge on its website, in the "To The Point" or Points Newsletters, social media and in marketing publications and/or community newspapers.