• First Congregational Church of Southington Church School & Nursery Registration Form

    2021-2022

  • Child Information

  • First Child

  • Second Child

  • Third Child

  • Fourth Child

  • Parent/Guardian Contact Information

  • Format: (000) 000-0000.
  • Is the address above the same as the child(ren).*
  • Format: (000) 000-0000.
  • Is the address above the same as the child(ren).
  • Are there any persons to which the child (children) may NOT be released to?*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Media Release

    In order to share the good news of the mission and ministry of First Congregational Church of Southington, we occasionally use images (photo/video) of students in classrooms or during special programs, or sent to FCCS by parents/guardians. These images may be shared on church bulletin boards, newsletters, in local newspapers or other printed materials, on our website, social media (email communications, live-stream events, Facebook, Instagram, YouTube, etc.), or in presentations during worship. If you are comfortable with the use of your child(ren)’s and/or youth(s)’s images for these purposes, please indicate below.
  • I hereby give permission for First Congregational Church of Southington to take and use images of my child(ren)/youth (photo or video) taken during church-related activities, or shared by me with FCCS staff, for church purposes only as described above. No children/youth will be identified by name. I understand that I will be contacted for special permission should any photo be considered for use other than described above.*

  • Parent/Guardian Covenant

    I understand that many volunteer hands are needed.  I covenant to use my gifts in some way this program year to support the Church School & Nursery of FCCS.  As a partner in this ministry, I pledge to uphold and support my child’s involvement in all aspects of participation including supporting the Church School teachers in their efforts to teach this year.
  • Choose all that apply. I am interested in:
  • Should be Empty: