Christ Church Grosse Pointe - Children's Formation Registration

Children's Formation & Child Care Registration Form

Parent/Guardian Name*

Parent/Guardian Last Name

Email

Emergency contact cell phone number (person who is on the church campus with phone turned on)

Address 1

Address 2

City

State

Zip

My child has special needs, please contact me regarding how to best support his/her/their learning needs

Child's First Name

Child's Last Name

Birthdate

Grade in Fall 2024

Child's First Name

Child's Last Name

Birthdate

Grade in Fall 2024

Child's First Name

Child's Last Name

Birthdate

Grade in Fall 2024

Child's First Name

Child's Last Name

Birthdate

Grade in Fall 2024

Birthdate

Child's First Name

Child's Last Name

Birthdate

Grade in Fall 2024