Church School Registration

Church School is held every Wednesday at 6:30pm AND every Sunday at 9:15am, for children infant through 5th grade, and after the 10:30am service for 6th – 12th grade. (see Education brochure for course offerings)

Participant's Name
Nickname
Parent(s) or Guardian(s) Name
Child's Date of Birth
Grade in school (or age) for 2011-2012
Street Address
City
State
Zip Code
Home Phone
Household e-mail address
Allergies or other conditions we should be aware of (food reactions, physical limitations, etc.)
Has your child been baptized?  Yes No
If so, date
Emergency contact (name & phone #)
I am available to help  as a substitute teacher
 as a parent helper in the classroom
 with large group Sunday school
 as a helper/chaperone for youth events
Comments
I, the undersigned parent or guardian, do hereby authorize emergency medical, dental, health or hospital services be rendered to my child upon consent of a Holy Trinity Episcopal Church staff member or designated volunteer. The purpose of this authorization is to permit my child to receive emergency medical attention when needed while involved in the activities connected with Holy Trinity Episcopal Church’s Children’s programs when I or my emergency contact is unavailable to give such consent. This authorization shall be effective from September 2011 until June 2012.
Click the check box to accept the authorization statement above.

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