Children and Youth Ministry Registration Form

Our new church school year has begun!  If you have not done so as yet, please fill out the registration form below, click the submit button and it will go directly to Madeline Johnson, our Director of Children and Youth Ministry.

PARENT/GUARDIAN INFORMATION

HOME INFORMATION (Please indicate if parents have separate addresses/home phones)

EMERGENCY CONTACT INFORMATION - In case parent/s cannot be reached

CHILDREN INFORMATION

ADDITIONAL INFORMATION (Indicate name of child)

PLEASE SIGN THE PHOTO RELEASE BELOW:

By signning your name in the below field, you hereby grant St. John’s Episcopal Parish and its staff permission to use photographs and videos taken at St. John’s events for the purpose of publicity and community life (i.e. brochures, newsletters, photo collages, etc.) without names mentioned.