Child's Name*
Parent/Guardian Name*
Parent/Guardian Email*
Parent/Guardian Phone*( ) -
Child's Grade For The Fall* Pre-School Kindergarten First Grade Second Grade Third Grade Fourth Grade Fifth Grade Sixth Grade
Grade entering fall school year
Child's Age For The Fall*
Enter the age that your child will be at the beginning of the fall school year
GEMS
Cadets
GEMS (1st grade - 6th grade girls) Cadets (2nd grade - 6th grade boys)
Other Information
Are there any foods/materials that your child is allergic to? Does your child have any medical conditions that we should be aware of?
Teaching
Special Events
Nursery
Decorating
Yes
No
I agree to let my child's image be used in any social media, advertising, and other publications on behalf of Central Church
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