SRCOC Tuesday School Enrollment Form

You may also fill out a PDF or hard copy form and submit it to the church office, either via email or post, or drop it off in-person at the building.
https://drive.google.com/file/d/1z1KjY7RTnKTh-hb56fpFcINn07rMQz_N/view?usp=drive_link

Child's Information

Child's Name

Child's Age

Date of Birth

Guardian(s) Information

Legal Guardian's Name (1)

Relationship to child

This address will receive a confirmation email

Phone

Address

Legal Guardian's Name (2)

Relationship to child

This address will receive a confirmation email

Phone

Address

Emergency Contact Info

In case of emergency and you cannot be reached, whom may we call?

Name

Phone

Address

Relationship

Please answer the following questions:

Does your child have any illness or physical condition of which we should be aware?

Yes No

If so, explain and list any medications/doses required:

Does your child have any discipline or emotional problems of which we should be aware?

Yes No

If so, please explain:

Does you child have permission to have refreshments?

Yes No

Please list any and all food allergies which your child has:

Do you have a church affiliation? Yes No

If so, would you please list the name of the church?

Would you be willing to assist in the classroom or during parties occasionally, if needed?

Yes No

Please include any more information or elaboration you feel is relevant to any question above:

Description

Please fill out this form and click submit. You will receive an email confirmation of your submission.
Please be sure to also fill out the Emergency Medical Form on the Tuesday School page. Your child's enrollment is not complete until both forms are received by our office.
Enrollment fees are due at Orientation Day, the week before the school year begins.
If you have any questions, please email office@springroadcoc.com, or call 614-882-1900.

SRCOC Tuesday School Enrollment Form

Description

Please Fix the Following