Christ Church Bells Corners

Church School and Nursery Registration Form - 2011 | 2012

Parent's Names:

Address:

Home Phone:    Phone (emergency):

E-mail #1:    E-mail #2:

I would like to receive newsletters and information by email Yes  No


Child #1

child's name: birth date:

school:    grade:

allergies | health concerns:


My child regularly receives communion Yes   No

Child #2

child's name: birth date:

school:    grade:

allergies | health concerns:


My child regularly receives communion Yes   No

Child #3
child's name: child's birthday:

school:    grade:

allergies | health concerns:


My child regularly receives communion Yes   No

Do you give permission for use of your child's/children's photograph(s)in parish publications and/or the Diocesan newspaper, Crosstalk. Yes   No.    With his or her name:Yes    No
CCBC website (no names): Yes    No



INDICATE YOUR PERMISSION AS THE CHILD(S) LEGAL GUARDIAN:

By checking the box in this section you are indicating to the registrar at Christ Church Bells Corners that you have understood this registration form's intention and are hereby electronically signing your permission.

This will be kept by the registrar as your parental permission, the same as a signed paper document.   


Information Requests and Volunteer Opportunities

I would like to receive more information about:

Early communion program
Baptism and Confirmation
Server's Guild (grade 7 and up)
The Atrium Program
Children's Choir (grades 1 and up)
Youth Groups
Activity Day Program
Nursery Program



Your Name:    My Phone Number:


I would be interested in helping with the following:

Church School Support Group
Church School Special Events
Church School Registration
Summer Church School
Group Activities: Sunday Morning
Activity Days: Saturdays
Activity Days: Weekdays
Nursery Maintenance
Pageants: (twice a year)



Your Name:    My Phone Number:





For New Members:

Welcome to CCBC Church School and our parish family, your contact information will be shared with the office and you will be placed on our parish list. Please check the appropriate box: I would like to: Have clergy call
Receive offering envelopes
Receive parish mail electronically


Your Name:    My Phone Number:


All information is kept for church school use only


Comments to the registrar:







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