Thursday School Registration Child's name(Required) First Last Child's preferred name Gender(Required) Female Male Child's Birthdate(Required) MM slash DD slash YYYY How old will your child be the first day of school? Address(Required) Parent Contact InformationParent/Guardian Phone Number(Required)Father's Name(Required) Father's Phone Number(Required)Father's email(Required) Mother's Name Mother's Phone Number(Required)Mother's email(Required) If parents are divorced, who has custody of the child? Phone number where parent can be reached during school(Required) Name and number of responsible person if parent can't be reached (please list 3)(Required)NamePhone #Relationship to Child Add RemoveDoes your child attend church(Required)(this does not determine eligibility) Yes No If yes, which church? Other helpful comments regarding your child: (food allergies, medical condition, medications, etc.) Δ
