MONROEVILLE CHRISTIAN CHURCH
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New Family Registration Form
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Indicates required field
Family Last Name
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Home Phone Number (If Available)
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Mom's Name
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Dad's Name
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Mom's Occupation (If applicable; other than homeschooling or homemaking)
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Dad's Occupation
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How Many years have you been homeschooling?
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Home Church
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How Did you hear about MCH?
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Please list any prior teaching and/or classroom help experiences outside the home, whether it be through other schooling methods, church, community, etc.
Email
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Mom Cell Phone
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Dad Cell Phone
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If working, is mother's position
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Part Time
Full Time
Not Applicable
Is dad's position
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Part Time
Full Time
Which Grades/Levels Have You Homeschooled?
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What Year Did You Join Your Church?
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Why do you wish to join a homeschool cooperative effort?
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Comment
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Child Information
Please list your child(ren)’s names and ages under the corresponding classes. Munchkins will be promoted to Preschool at
the time of their second birthday. Please note there is a minimum age requirement for Elementary and Intermediate classes
to ensure appropriate social, mental, emotional, and physical group interactions in the classroom and PE situations:
Munchkins (ages 0-2)
Munchkins will be promoted when they begin a semester as a three year old.
Name
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Name
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Current Age
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Current age
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Birthdate (MM/DD/YY)
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Birthdate (MM/DD/YY)
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Preschool (ages 3-5)
Name
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Name
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Current age
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Current age
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Birthdate (MM/DD/YY)
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Birthdate (MM/DD/YY)
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Elementary (grades k-3, minimum age required is 5)
Name
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Name
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Name
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Current age
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Current age
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Current age
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Birthdate (MM/DD/YY)
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Birthdate (MM/DD/YY)
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Birthdate (MM/DD/YY)
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Intermediate (grades 4-6, minimum age required is 9)
Name
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Name
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Name
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Current age
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Current age
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Current age
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Birthdate (MM/DD/YY)
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Birthdate (MM/DD/YY)
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Birthdate (MM/DD/YY)
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Food Allergies
We will post a laminated card in your child’s classroom with the following information:
Name
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Allergy
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Reaction/Medication/Instructions:
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Name
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Allergy
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Reaction/Medication/instructions:
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Name
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Allergy
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Reaction/medication/instructions
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Medical
Please note if there are any medical conditions that we need to be aware of:
Name
*
Name
*
name
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Notes about medical condition
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Notes about medical condition
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Notes about medical condition
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Special Needs
Please note if there are any learning or physical challenges so the leaders can better serve your family.
Name
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Name
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Name
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Learning or physical challenges to be aware of:
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Learning or physical challenges to be aware of:
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Learning or physical challenges to be aware of:
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First Aid/CPR
Are you First Aid and/or CPR certified?
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First Aid Only
CPR Only
Both
None
I need to be re-certified
This is not a requirement but helpful information for safety purposes. Thank you.
Schedule
The MCH season will begin September 7, 2023 and finish May 2, 2024 with breaks throughout for various reasons. To the best of your knowledge, what is your commitment level?
Select One
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Entire School Year
Fall Only
Spring Only
The MCH core schedule is as follows:
11:00 Assembly
11:15 Enrichment
12:00 Lunch and Recess
12:45 PE
1:45 Cleanup
2:00 Dismissal
Each family is asked to commit to this core schedule, outside of sickness and emergencies.
I agree (Please Initial)
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Our 10:00 AM Science class is optional. Will your family be attending? A Munchkin Class will be offered at this time.
Select One
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Yes
No
Maybe
Parental Involvement
MCH is not currently a drop-off service. Each parent is expected to stay and help in some capacity.
All classroom participants must have their PA Clearances up to date and provide a copy of them to MCH for the Monroeville
Christian Church Secretary to keep on file. No one will be permitted to work in a classroom without such clearances.
I agree (please initial)
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I agree (please initial)
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I agree to pay all class fees and submit a copy of my PA clearances by August 1st.
I agree (Please Initial)
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Check any and all areas you would enjoy serving at MCH
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Munchkin Helper (babysitter, interaction)
Preschool Classroom Helper
Elementary Classroom Helper
Munchkin PE Helper
PE Helper
Classroom Cleanup
Fellowship Hall Cleanup
Bathroom Cleanup
Vacuuming
Trash to Dumpsters
Classroom Material Prep (cutting, gluing, collecting, etc.)
Snack Provisions
Party Planning Help
Resource Room Help
Donation (either material or monetary)
Fees
MCH is free to join, however, there may be class fees associated with specific classes. In such cases, money would be paid
directly to the teacher for compensation of supplies personally purchased and/or time if the class is labor intensive. Donations to MCH are accepted for the purchase of supplies that benefit the group. Monetary donations are accepted via online giving or by sending to the Monroeville Christian Church office.
Agreement
The information on this form is true to the best of my knowledge. My family and I have read the current MCH
Guidelines and agree to uphold them.
Name
*
First
Last
Date
*
Submit
Home
Salvation
ABOUT
Mission & Vision
What To Expect When Visiting
What the Bible Says About...
Elders, Evangelists, Deacons, & Office Staff
CONNECT
Connect Card
Family Life Groups
S.I.S.T.E.R.S. In Christ
Men
Youth & Family
Hearts & Hands
Missions/Links
MEDIA
What must I do to be Saved
Watch Again - Recorded Services
Revival & Seminar Sermons
Bible Study Videos
Bible Study Resources
GIVE
CALENDAR
Assembly Times & Events
Fall Revival 2023
CONTACT
Connect Card
Contact Us
Prayer Request Form
Member Info