Children's RE Registration

Children's RE Registration Form

* Indicates required field

Child's First and Last Name *

Child's Birth Date (mm/dd/yy) *

Child's pronouns (ex: he/him/his, she/her/hers, they/them/theirs) *

Are there any learning needs, health concerns or allergies that we should know about? *

Who has permission to drop off and pick up your child? *

Is there anyone who should NEVER pick up your child? *

What is your child's favorite thing to do? *

What is your child's greatest gift? *

Parent/Guardian #1 *

Relation to the Child *

Email Address *

Cellphone *

Home Phone *

Pronouns (e.g., she/her/hers; they/them/theirs; he/him/his) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent/Guardian # 2 *

Relation to the Child? *

Email *

Cellphone *

Home phone *

Pronouns (e.g., she/her/hers; they/them/theirs; he/him/his) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Who else is in the family? (Siblings, grandparents, pets, etc.) *

Additional comments, notes and things we need to know: *

Would you like to receive our Children and Family Ministry newsletter? This newsletter is delivered via email and serves as a central way that information about the program, curriculum and special events is communicated.

Choose One *

Yes please Maybe later

Send

Who to contact

Tony Bianca
Program Coordinator, Children's Choir, Chalice Choir and Handbell Programs Director
(619) 398-4444
tony@firstuusandiego.org

(619) 298-9978 | Staff Directory
Hillcrest campus 4190 Front Street, San Diego, CA. 92103 | South Bay campus 970 Broadway, Chula Vista, CA. 91911
For directions, parking and more see our Contact page.