Family Registration

Youth medical and Liability release form
(6th-12th grade)

Manhattan Beach Community Church
Family Registration (All ages)

* Indicates required field

Parent/Guardian *

First

Last

Cell Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent/Guardian *

First

Last

Cell Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Child 1: *

First

Last

Birthdate: *

Age: *

School Year: *

Allergies: *

Batptism date (if any): *

Anything special we should know about: *

Child 2: *

First

Last

Age: *

Birthdate *

School Year: *

Allergies: *

Baptism date (if any): *

Anything special we should know about: *

Child 3: *

First

Last

Birthdate: *

Age: *

School Year *

Allergies *

Baptism date (if any): *

Anything special we should know about: *

Child 4: *

First

Last

Birthdate: *

Age: *

School Year: *

Allergies *

Anything special we should know about: *

Baptism date (if any): *

I would like to contribute to our Faith Formation program by (please check all that apply): *

Be a helper/teach Sunday School Donate supplies or snacks as needed Help with other family ministries (VBS etc.) Other: (write in box below)

Other: *

MBCC Photo Policy *

No Restrictions The following restrictions

Restrictions *

Submit

Youth medical and Liability release form​(6th-12th grade)

Manhattan Beach Community ChurchFamily Registration (All ages)

Youth medical and Liability release form
(6th-12th grade)

Manhattan Beach Community Church
Family Registration (All ages)