St. Andrew's Church School Registration 2025-26

Student Information

Child #1's Full Name

Child #1's Date of Birth

Child #1's Grade for 2025-26 School Year

Child #2's Full Name

Child #2's Date of Birth

Child #2's Grade for 2025-26 School Year

Child #3's Full Name

Child #3's Date of Birth

Child #3's Grade for 2025-26 School Year

Parent/Guardian & Emergency Contacts

Parent Guardian #1 Name

Parent Guardian #1 Cell Phone

Parent Guardian #1 Email

This address will receive a confirmation email

Parent Guardian #1 Address

Parent Guardian #2 Name

Parent Guardian #2 Cell Phone

Parent Guardian #2 Email

Parent Guardian #2 Address

Emergency Contact #1 (Full Name other than parent/guardian)

Emergency Contact #1 Cell Phone

Medical Information

Physician Name

Physician Phone

Allergies (each child). If none, please state that.

Any other medical, behavioral, or general things we ought to know?

Any restricted activities? Please explain.

We need your help!

Interested in helping with Youth Sundays or church school?

Release and Waiver

By signing below: 1) I agree to release St. Andrew's Episcopal Church, St. Andrew's Staff, its Church School teachers and youth leaders from any damage or liability resulting from my child(ren)'s participation in church-sponsored activities for the 2025-26 school year; 2) I give permission for the Church School teachers and/or youth leaders to seek medical care for my child(ren) in the event of an emergency; 3) I allow my child(ren) to be photographed, videotaped, and/or audiotaped during church-sponsored activities and/or learning experiences.

Please fill in your name as your electronic signature

Date

Description

Please fill out this form to register your child for St. Andrew's church school. You may contact Shelby Auletta at sundayschool@standrewsmadison.org with any questions. Thank you!

St. Andrew's Church School Registration 2025-26

Description

Please Fix the Following