Section 1 of 8
KidSpark
This info will set you up to attend KidSpark at ECOC! You do not HAVE to fill out this form, but it will make the check in process when you do come a little faster! We look forward to having you here with us.
Section 2 of 8
Parent/Guardian #1
This section is for YOU! We need your name and phone number for your child's emergency contact information.
Name (first and last)
Name (first and last)
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Phone Number
Phone Number
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Section 3 of 8
Parent/Guardian #2
Please provide a second emergency contact in case we cannot reach you!
Name (first and last)
Name (first and last)
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Phone Number
Phone Number
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Section 4 of 8
Child #1
This section is for your child! If you have multiple children, fill out the provided sections.
If you have more children than sections, please either fill out another section or email abby.savage@ellisvillechurchofchrist.com
If you have more children than sections, please either fill out another section or email abby.savage@ellisvillechurchofchrist.com
Name (first and last)
Name (first and last)
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Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
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Gender
Gender
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Female
Male
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add "Other"
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Grade
Grade
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Nursery (ages 0-3)
Pre-K - 1st Grade
2nd - 3rd Grade
4th - 5th Grade
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Any Allergies or Special Needs?
Any Allergies or Special Needs?
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Section 5 of 8
Child #2
Name (first and last)
Name (first and last)
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Gender
Gender
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Female
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add "Other"
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Grade
Grade
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Nursery (ages 0-3)
Pre-K - 1st Grade
2nd - 3rd Grade
4th - 5th Grade
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add "Other"
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Any Allergies or Special Needs?
Any Allergies or Special Needs?
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Section 6 of 8
Child #3
Name (first and last)
Name (first and last)
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Time
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Gender
Gender
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Multiple choice grid
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Date
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Female
Male
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add "Other"
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Grade
Grade
Question Type
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Paragraph
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Rating
Multiple choice grid
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Date
Time
Nursery (ages 0-3)
Pre-K - 1st Grade
2nd - 3rd Grade
4th - 5th Grade
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or
add "Other"
…
Answer key
(0 points)
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Any Allergies or Special Needs?
Any Allergies or Special Needs?
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Section 7 of 8
Child #4
Name (first and last)
Name (first and last)
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Date
Time
Answer key
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Gender
Gender
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Short answer
Paragraph
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Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Female
Male
Add option
or
add "Other"
…
Answer key
(0 points)
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Grade
Grade
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Nursery (ages 0-3)
Pre-K - 1st Grade
2nd - 3rd Grade
4th - 5th Grade
Add option
or
add "Other"
…
Answer key
(0 points)
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Any Allergies or Special Needs?
Any Allergies or Special Needs?
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Section 8 of 8
Release
By selecting agree I understand that:
My child(ren) will be participating in Children’s Ministry Activities such as group games, worship, etc.
My child(ren) may be photographed, filmed and be used in video, print, and web presentations.
My child(ren) must be picked up in a timely manner following worship services.
I release Ellisville Church of Christ and volunteers of any legal liability.
My child(ren) will be participating in Children’s Ministry Activities such as group games, worship, etc.
My child(ren) may be photographed, filmed and be used in video, print, and web presentations.
My child(ren) must be picked up in a timely manner following worship services.
I release Ellisville Church of Christ and volunteers of any legal liability.
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Agree
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