Presbyterian Church - Manasquan: Home: 2022 Student Registration Form

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Manasquan
Presbyterian Church
16 Virginia Ave.
Manasquan, NJ 08736

Tel: 732-223-4627
Fax: 732-223-1607
Email Us

2022 Student Registration Form

Please use the form below to register your student for
Sunday School, Youth Group and Confirmation.

Please complete one form for each child. Once you've completed the form, click the "Submit" button. Please contact the Dave Wilenta, (732) 223-4627 or email, with any questions or for more information.

* Required

Errors

Child's First & Last Name *

Child's Current Age *

Child's Birth Date *

Child's Gender *

Male

Female

Parent(s) Name: *

Address Line 1 *

Address Line 2

City *

ZIP Code *

Phone: *
( ) - ext.

Email Address *

I would like to register my child for the following program(s):

Sunday School

Confirmation Class (8th grade)

Youth Group (6th-12th Grade)

Emergency Contact (other than Parent/Guardian): *

Emergency Contact Relationship to child: *

Emergency Contact Phone Number: *
( ) - ext.

Please tell us about your child’s special needs, allergies, and/or health concerns:

Child can be photographed? *

Yes

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SUNDAY SERVICES
8:00am
Communion Service

9:15am
Traditional Service

10:30am
Praise & Worship Service

Visit the
MPC YouTube Channel
for livestreamed services

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