Friday Registration

Please complete the below registration, once registration is complete you will be redirected to the Sign Up Genius page to register for a Friday Morning Fall Study.

Please note, form answers below will not be saved until you click SUBMIT at bottom of page. Thank you.

PERSONAL INFORMATION

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Directory Phone Number *

Occupation *

Hometown (City, State, Country) *

Birthday (MM - DD - YYYY) *

Spouse's Name *

Spouse's Department or Occupation *

My spouse is a: *

If your spouse is in training, what year will he finish? *

Is this your first year in Rochester? *

Yes No

Is this your first year at Side By Side? *

Yes No No, but was not active last year

Are you expecting a baby? *

Yes No

If YES, when is your due date? *

Church Attending/Affiliation *

Will you be on an away rotation this year? If yes, when and where? *

CHILD INFORMATION

Please list all of your children and indicate whether or not they will need childcare. We ask for this information to allow for ladies to connect with other families with children of similar ages.

We are pleased to offer childcare for ages 6 months-6 years, with the possibility of older home-schooled children becoming volunteer helpers in the classrooms. Babies in arms are welcome in small group. Once children start moving, they are better taken care of in childcare.

First Child's Name *

FIRST CHILD'S BIRTHDATE *

Will your first child need childcare? *

Yes No

If yes, please list allergies and special needs. *

Second Child's Name *

SECOND CHILD'S BIRTHDATE *

WILL YOUR SECOND CHILD NEED CHILDCARE? *

YES NO

If yes, please list allergies and special needs. *

Third Child's Name *

THIRD CHILD'S BIRTHDATE *

WILL YOUR THIRD CHILD NEED CHILDCARE? *

YES NO

If yes, please list allergies and special needs. *

Fourth Child's Name *

FOURTH CHILD'S BIRTHDATE *

WILL YOUR FOURTH CHILD NEED CHILDCARE? *

YES NO

If yes, please list allergies and special needs. *

PLEASE LIST ANY ADDITIONAL CHILDREN NOT INCLUDED ABOVE *

PERMISSIONS AND POLICIES

PLEASE CHECK OFF THE FOLLOWING INDICATING YOUR AGREEMENT: *

I give permission for myself and/or my children to be photographed/videoed for the sole purpose of publicizing Side By Side. No identifying information will be revealed without additional expressed consent. I give Side By Side permission to publish pertinent information in a PDF digital and/or printed directory to be distributed to SBS members. No commercial use is intended. I also grant permission for Side By Side to use my email for sending announcements. Are you interested in participating in this summer's study? A limited number of partial scholarships are available to help with childcare fees. If you are interested, please check (info will remain confidential), and a member of the Steering Committee will contact you.

The marketing/promotional materials mentioned below are the weekly e-blasts, event Evites, and other necessary communication from Side By Side - Rochester.

I agree to receiving marketing and promotional materials