Family Registration Form 2022- 2023

========== PARENT/GUARDIAN INFORMATION ==========

Parent/Guardian (Primary Contact) (required)

Address (required)

Phone (required)

Cell Phone (required)

Email (required)

Parent/Guardian 2 (Secondary Contact)

Address

Phone

Cell Phone

Email

========== CHILD INFORMATION ==========

Please list all children, birth through Grade 12, from youngest to oldest.

Child's Name (required)

Date of Birth (required)

Grade (Sept. 2022) (required)
PreKK123456789101112No Grade

Please include any information that we can use to help accommodate your child:

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Child's Name (2)

Date of Birth

Grade (Sept. 2022)
PreKK123456789101112No Grade

Please include any information that we can use to help accommodate your child:

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Child's Name (3)

Date of Birth

Grade (Sept. 2022)
PreKK123456789101112No Grade

Please include any information that we can use to help accommodate your child:

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Child's Name (4)

Date of Birth

Grade (Sept. 2022)
PreKK123456789101112No Grade

Please include any information that we can use to help accommodate your child:

========== PHOTO RELEASE ==========

First Parish in Wayland occasionally uses pictures of program events for brochures, newsletters, website, Facebook and other media related to the promotion of the church.

I give permission for my child(children)'s image(s) to be used for the above purposes (required)
YesNo

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