Child Registration Form
Please fill out this information for each child you have in our Children/Preschool/Nursery Program
Child's Last Name
Your answer
Child's First & Middle Name
Your answer
Nickname
Your answer
Parent or Guardian 1
Your answer
Parent/Guardian 2
Your answer
Child's Birthdate
Your answer
Child's Age
Your answer
Address
Your answer
Phone Numbers
Your answer
Parent's Email address
Your answer
Any known allergies? If Yes please explain.
Your answer
Any medical conditions or health concerns?
Your answer
Child's School
Your answer
Child's grade
May your child have snacks?
All children must be Check IN/OUT by a Parent, Guardian, or designated person over 18. Children will not be released without an adult present.
Please list anyone over 18 who your child can be released to
Your answer
Is there anyone who may not pick up your child or a custody issue that we should be made aware of? If yes, please list names.
Your answer
If you are on Facebook and would like to be added to our Facebook page for notifications please list your username.
Your answer
The nursery is for infants through preschool age children. We ask that all school-age children stay out the nursery area and that only approved teen helpers will be permitted to assist nursery staff. Teens may only help one service per month and must obtain permission from parents and have pastoral approval.
Are you interested in volunteering in our children's ministry departments?
For any Infant/Toddlers please include any important info about your child you would like nursery staff to know.
Your answer
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