Remnant Kids - Information Sheet
Hello, families! First, we want to say how thankful we are for you and the opportunity to minister to your child through our children's ministry at Life Changers Christian Center! To help us serve you better, please fill out the information below. A copy will be kept on file for our kids ministry staff. Again, thank you for trusting us with your children. We love each one and believe they were created for a purpose and a plan; We want to be part in fulfilling that plan. With your help, we can make their experience at Life Changers exciting, happy and safe!
Child's Full Name
Your answer
Name you use to address your child
Your answer
Child's Birthday
Your answer
Mailing Address
Your answer
Home Address (if different from mailing)
Your answer
Phone number
Your answer
E-mail
Your answer
With whom does the child live? (parents, guardians, etc. and relationship to the child)
Your answer
List of Siblings (please include ages)
Your answer
List of Pets (name and type of pet)
Your answer
School Child Attends
Your answer
List of any allergies
Your answer
In case of accidental exposure to allergies, what steps should be taken?
Your answer
List any medical information that your child's teacher should know
Your answer
Is there anyone that should not pick up your child?
Your answer
Are there any custody arrangements of which the leaders should be aware?
Your answer
In the case of an emergency and a parent/guardian cannot be reached, whom should we contact? (Please list name, phone number and relationship to child for two alternate emergency contacts)
Your answer
Special Instructions or Information
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service