CHURCH SCHOOL REGISTRATION FORM

___ 1st time registration

Family's Last Name______________________

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Child's Name __________ Age____ Grade____ Birthday_______

Child's Interests

 

Allergies, Health Issues, Learning Disabilities, Special Needs or Circumstances:


 

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

 

Child's Name __________ Age____ Grade____ Birthday_______

Child's Interests

 

Allergies, Health Issues, Learning Disabilities, Special Needs or Circumstances:


 

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Child's Name __________ Age____ Grade____ Birthday_______

Child's Interests

 

Allergies, Health Issues, Learning Disabilities, Special Needs or Circumstances:

 

 


List any other children on the back of this sheet.

 

FAMILY INFORMATION

Parent's Name/s _____________  Home Phone #_______

Address_____________________________________

Current or Past Profession_______________________

Work Phone #s_______________________________

Parent's Birthday/s _________________Anniversary Date:______

Are you available to:

____ Substitute Teach ____ Room Parent
____ Drive on field trips ____ Do a Special Activity in the Classroom

 

FAMILY INTERESTS

____ Fellowship Activities ____ Membership
____ Adult Religious Education ____ Baptism
____ Family Acitivities, (list) ____ Confirmation
    ____ Counseling/Family Serv.
    ____ Pastor/Layperson Visit
    ____ Youth Group
____ Preschool Playgroup ____ Other

FAMILY GIFTS/TALENTS

____ Singing ____ Fund Raising
____ Play an Instrument ____ Visitation
____ Teaching ____ Community Service
  Arts & Crafts ____ Church Property Care
  Mentoring ____ Accounting/Bookkeeping
  Leadership Ability ____ Computer/Typing
____ Design & Planning ____ Other
 

Up

Stratham Community Church, 6 Emery Lane, Stratham, NH 03885
Phone: (603) 772-3389  E-Mail: findfaith@strathamchurch.org