Welcome Back! 

If you have never completed a family registration form in the past (or you're unsure if you have done so before), please fill out a New Family Registration Form instead. If you have filled in our New Family Registration Form in a previous year, please continue on below.

Yearly Returning Family Registration Form
 

Date *
Date
Father's Name *
Father's Name
Mother's Name
Mother's Name
Family Phone Number *
Family Phone Number
Please indicate below if there have been any significant changes in your family from the previous year. EX. New Child, Marriage Status, Address Change, Cell Number etc.
Child 1
Name
Name
Child 2
Name
Name
Child 3
Name
Name
Child 4
Name
Name
Child 5
Name
Name
Yearly Waiver; This must be filled out in order for any registration to be considered complete. This waiver form is for the 2019/2020 program year.
Onsite Activities; I, the parent/guardian, give permission for my child(ren) to participate in all onsite activities associated with the weekly Next Gen Programming *
Offsite Activities; I, the parent/guardian, give permission for my child(ren) to participate in all offsite activities associated with the Next Gen weekly programming. *
Injury; Although children and youth will be supervised and every effort will be made to prevent injuries, Regina Apostolic Church accepts no responsibility for any risk of injury for the children or youth while under our supervision. *
Photographs; I, the parent/guardian, give permission for Regina Apostolic Church to use and produce any photograph for use on informational or promotional material. No names or personal information will be attached to the images. *
Cards; May we have permission to send your child(ren) a note or card? *
Contact; May we have permission to contact your preteen/youth? *
Signature: By entering my name in the following box, I understand this will act as my legal signature and consent in agreement with the terms of this contract. *
Signature: By entering my name in the following box, I understand this will act as my legal signature and consent in agreement with the terms of this contract.