Presbyterian Church - Manasquan: Youth Registration Form

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Manasquan
Presbyterian Church
16 Virginia Avenue
Manasquan, NJ 08736
Tel: 732-223-4627
Fax: 732-223-1607
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Youth-Ministry

We are looking forward to the Manasquan Presbyterian Church Fall Kickoff on September 9th! Use the form below to register students 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 church office, (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

What grade will your child be entering in September 2018? *

Parent(s) Name: *

Address Line 1 *

Address Line 2

City *

State *

ZIP Code *

Phone: *
( ) - ext.

Email Address *

Please choose one or more of the following to volunteer for:

Sunday School Teacher

Assistant Teacher

Substitute Teacher

Event Planner

Event Assistant

Decorator

Crafts

Check In

Snacks

Other (Please Explain):

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

Sunday School

Jr. High Youth Group (6th-8th Grade)

Sr. High Youth Group (9th-12 Grade)

Confirmation Class (8th 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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