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Young Church Registration Form

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Child's/Children's Name(s)*
Child's/Children's Date(s) of Birth*
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Please list any known allergies your child/children may have
Please list any known medical conditions
Please list any relevant behavioral patterns that would be helpful for our staff to know in order to support your child
Does your child/children require any special accommodations?
What are some of your child's/children's interests or hobbies?
We regularly post pictures, and occasionally brief video, of activities on our website. No names are used. May we use images of your child/children?
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If you have any interest in volunteering with us, please check your preferred volunteer preferences below:*
- Young Church
- Youth Group
- Crossing Paths
- Our Whole Lives (OWL)
- Nursery
How often would you like to volunteer?
- Weekly
- Monthly
- As needed
If you have more than four children to register you can contact Mara Flynn directly or fill out the form multiple times.
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Publications

The Steeple - June 16, 2021

The Steeple - June 9, 2021

The Steeple - June 2, 2021

The Steeple - May 26, 2021

The Steeple - May 19, 2021

The Steeple - May 12, 2021

The Steeple - May 5, 2021

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26 Pleasant Street
Newburyport, MA 01950
(978) 465-0602
info@frsuu.org

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