Name
              
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                    First Name 
                   
                
                
                  
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Phone
              
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                    (###) 
                   
                
                
                  
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              Email
              
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              Name
              
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                    First Name 
                   
                
                
                  
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Phone
              
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                    (###) 
                   
                
                
                  
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              Email
              
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              Relationship to Child(ren)/Youth
              
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              Would you like for the person listed above to receive communications regarding upcoming children/youth events? 
              
             
          
                
                
                
                  
                    Yes, I would like for this contact to receive information regarding upcoming events. 
                  
                    No, please only send information regarding upcoming events to the primary contact. 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Children/Youth Information
              
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                Please list each child's name, preferred name, date of birth, & grade they will be in for the '25-'26 school year
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Allergies, Dietary Restrictions, & Accomodations
              
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                Please list any allergies, dietary restrictions, and accommodations needed along with the child/youth's name. If none, please write "N/A"
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Please indicate what activities/ministries your child(ren) may participate in this program year.
              
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                Check all that apply
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Volunteer Interest
              
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                Please check all that apply regarding your interest in volunteering with children & youth this year.
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Please list any additional comments and/or questions you have regarding our children and youth programs this year!
              
             
          
                Thank you for your time!
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
         
      
      
      
      Thank you for registering your child(ren) to participate in activities at St. Michael’s. If you have any questions, please contact Owen Copps, Director of Children & Youth Ministries at owen@stmikeschurch.com