Children and Youth Ministries Registration Form 2011-2012
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Child's Last name
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Child's First Name
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Street Address
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City
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State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
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Zip Code
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Birth Date
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Grade
3 year old
4 year old
Kindergarden
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
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Home Phone
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Main email for Family
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Mother Last Name
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Mother's First Name
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Mother's Work or Cell Phone
Mother's email
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Father's Last Name
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Father's First Name
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Father's Work or Cell Phone
Father's email
For details on each of the Ministry Programs click here
What Activities will your child participate in? Check all that apply at each site.
Sunday School (ages 3 and up)
Joyful Noises (Parent/tot)
Kindle (ages 3 years and up)
Worship Arts Team (2nd grade and up)
Youth Music (grades 6-12)
Thursday Night Rocks (grades 6-8)
High School Night (grades 9-12)
Tempe Site
Sunday School (ages 3 years and up)
Joyful Noises (parent/tot)
Junior High Night (grades 6-8)
Gilbert site
Confirmation
7th & 8th Grade Confirmation
9th Grade Confirmation
7th & 8th grade classes will be held at Tempe in the gymnasium.
Classes will be most Sunday's from 12:30 - 1:30pm.
9th grade students will have only 2 meetings (1 fall and 1 spring),
and students will be asked to do 4 service projects and a
faith paper.
I agree to the use of images of my children, including reproduction of photos, video, or audio by Desert Cross for promotion purposes.
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By checking Yes, you are aggreeing to the terms listed above. Checking Yes acts as your electronic signature.
Yes
No
Yes to particpate, No to permission of picture use, please explain
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Indicates Response Required