MASS TIME CHANGE! Beginning, August 4, Sunday evening Mass time will be changed to 4:00 pm. Saturday evening Mass will remain at 4:30 pm.

Nursery Registration Form

Thank you for your interest in using our Nursery. A Registration Form is required for all children using the Nursery. Please complete this form and submit it or you can complete a paper version of this form available in the Parish Nursery. (Note - please read our Nursery Policy prior to completing the Registration Form.)

If you have any questions, please feel free contact our Parish Nursery Coordinator.

Family Last Name
Text (Single Line)
  •  
Is Family registered at St. Elizabeth Ann Seton Parish?
  •  
Child 1
Child 1
  •  
Child 1 Age
  •  
Child 2
Child 2
  •  
Child 2 Age
  •  
Child 3
Child 3
  •  
Child 3 Age
  •  
Child 4
Child 4
  •  
Child 4 Age
  •  
Additional Children
Please include the name and ages of any additional children in the section below.
Names and Ages
  •  
Parent/Guardian Information
Parent 1
  •  
Parent 1 Primary Phone --
  •  
Parent 1 Alternate Phone --
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Parent 2 Name
  •  
Parent 2 Primary Phone --
  •  
Parent 2 Alternate Phone --
  •  
Home Address
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Emergency Contact Information
Please provide name other than Parent/Guardian.
Name
  •  
Primary Phone --
  •  
Alternate Phone --
  •  
Flocknote
If we need to close the Nursery for any reason including weather or shortage of volunteers, we will communicate the closing using Flocknote. Please provide an email address or cell phone number if you wish to receive these notices.
E-mail
  •  
Cell Phone --
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Allergies or Medical Issues
Please advise of any allergies or medical issues that we need to be aware of during your child's time in the Nursery.
Comments
  •  
Signature
By typing my name below and submitting this form, I acknowledge that I have received a copy of the Nursery Policy for Saint Elizabeth Ann Seton and agree to its terms. I also certify that I am the Parent/Guardian of child(ren) listed on this registration.
Name
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