Sign Up Learning Centers

All participants must register and supply medical info no matter how frequently or infrequently you plan to attend.

Will child attend in 2018-19(*)

Yes No Invalid Input

Will your child attend Learning Centers during the 2018-19 program year? (If you are not sure, check yes.)

Parent 1 Name(*)

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Parent 1 Email(*)

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Parent 1 Phone(*)

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Parent 2 Name(*)

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Parent 2 Email(*)

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Parent 2 Phone(*)

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Street Address(*)

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City(*)

Please enter name of city.

State(*)

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Zip(*)

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Child 1 First Name(*)

Please enter child's full name.

Child 1 Last Name(*)

Please enter child's full name.

Child 1 DOB(*)

Please enter child 1 date of birth.

Include year please.

Child 1 Grade in School, Fall 2018(*)

Please enter grade, or N/A, PK or PS (3 year olds)

Use NA if not in school

Child 1 Medical

Please enter medical info or N/A if none.

Please list medications or allergies.

Child 2 First Name

Please enter child's full name.

Child 2 Last Name

Please enter child's full name.

Child 2 DOB

Please enter child 1 date of birth.

Include year please.

Child 2 Grade in School, Fall 2018

Please enter grade, or N/A, PK or PS (3 year olds)

Use NA if not in school

Child 2 Medical

Please enter medical info or N/A if none.

Please list medications or allergies.

Child 3 First Name

Please enter child's full name.

Child 3 Last Name

Please enter child's full name.

Child 3 DOB

Please enter child 1 date of birth.

Include year please.

Child 3 Grade in School, Fall 2018

Please enter grade, or N/A, PK or PS (3 year olds)

Use NA if not in school

Child 3 Medical

Please enter medical info or N/A if none.

Please list medications or allergies.

Available to teach?(*)

Yes No Invalid Input

We have paid LC teachers but occasionally need subs.

Click on the icons below to access.

Worship

10:00am Sunday Worship

Calendar

Upcoming Events at Union Cong

Sign Ups

Payments

& Bulletin

Visitor Tips

Feel Comfortable with These Handy Tips

Union Congregational Church
176 Cooper Avenue
Montclair, NJ 07043
973-744-7424