Jr 1st Kids 2019-2020
Registration Form for 0 thru 5 years old

Cost: $80 per child for dinner (payment options: $80 for full year, $40 each semester, $4 each week, apply for
financial scholarship)

Registration due by September 3
1. Child's Name *
Your answer
Child's Date of Birth *
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2. Child's Name
Your answer
Child's Date of Birth
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3. Child's Name
Your answer
Child's Date of Birth
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DD
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YYYY
Allergies/Food Intolerance *
Your answer
Parent Names *
Your answer
Address *
Your answer
Phone Numbers *
Your answer
Email *
Your answer
Emergency Contact (Name & phone number)
Your answer
May we use photos of your child(ren) on our website, Facebook, or Salisbury Post (NO names will be used) By clicking 'Yes' you are giving us permission. *
1st Kids Dismissal
In our continuing efforts to keep children safe, the Christian Education Committee requests that each child’s parent(s) complete the information below concerning their child’s dismissal from 1st Kids/Jr. 1st Kids. Children must be picked up by parent(s) or other adult over the age of 18. Please include all names of those who may be picking up your child(ren) from 1st Kids/Jr. 1st Kids. We have not had any incidents concerning dismissal of children, but we certainly would like to avoid any unfortunate occurrences. Thank you!
Names of people you give permission to pick up your child(ren) *
Your answer
Parent Covenant
As Disciples of Christ, dedicated to the nurture of children in
God’s love, we commit to the following:

--To recognize all First Presbyterian Church facilities as part of God’s House and teach this to our children (buildings, grounds, furniture and supplies)

--To assume complete and total responsibility for the actions and behaviors of our own children during any church-sponsored event, either on or off campus (Sunday School, First Kids, Middle School and High School Youth Meetings)

--To accompany/supervise our children at all times when on church grounds until another adult assumes this responsibility

--To agree to respect and respond to direct guidance or requests made by our children’s church leaders/teachers and the group/classroom covenant

--To agree to respect and support other parents at First Presbyterian Church, as we partner in our commitment to this covenant
Parent Covenant Acknowledgement Signature *
Your answer
Submit
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