WOW! Registration
Please fill out this form and click submit.
Child's Name
*
Parents' Names
*
Parent's Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Child's Grade
*
Please select one option.
Pre-K (child must be 4 years old and potty trained)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
My child has special needs/allergies:
Emergency Contact
We will attempt to contact the parents first, but are asking for an additional emergency contact.
Emergency Contact Name
*
Phone
*
I would like to receive SJCOC's weekly email. This weekly email contains important information regarding upcoming events, schedule changes and event registration information.
*
Please select one option.
Yes
No
Select Option
Yes
No
The SJCOC website and Facebook page are tools to communicate with our church families and families in the community. In order for students' images to appear on the SJCOC website or Facebook page, we will need parental permission. Please choose one.
*
Please select one option.
Yes, as a parent or legal guardian of the child named above, I give permission to SJCOC to include my child's image on the SJCOC website and Facebook page.
No, do NOT include my child's image on the SJCOC website or Facebook page.
Select Option
Yes, as a parent or legal guardian of the child named above, I give permission to SJCOC to include my child's image on the SJCOC website and Facebook page.
No, do NOT include my child's image on the SJCOC website or Facebook page.
Submit
Description
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