C-STREET KIDS (a Ministry of College Street Baptist Church) Registration 2019-2020
* Required
I am Registering for:
*
MARK Club (Sunday evenings)
Bible Quest (Wednesday evenings)
Both MARK Club & Bible Quest
Child #1 Name
*
First and Last Name
Your answer
Child #1 Please list any food allergies that your child has:
*
Your answer
Child #1 Please list any allergies/concerns that your child has:
*
Your answer
Child #1 Age
*
Your answer
Child #1 Current Grade
*
K4
K5
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Child #2 Name
First and Last Name
Your answer
Child #2 Please list any food allergies that your child has:
Your answer
Child #2 Please list any allergies/concerns that your child has:
Your answer
Child #2 Age
Your answer
Child #2 Current Grade
K4
K5
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Child #3 Name
First and Last Name
Your answer
Child #3 Please list any food allergies that your child has:
Your answer
Child #3 Please list any allergies/concerns that your child has:
Your answer
Child #3 Age
Your answer
Child #3 Current Grade
K4
K5
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Parent/Guardian Name
*
First and Last Name
Your answer
Complete Address/Apartment #
*
Street Address with Apartment #, City, SC
Your answer
Cell Phone #
*
Your answer
Email Address
*
Your answer
OK to Photo/Video Your Child(ren) for Children's Ministry Related Purposes?
*
Yes
No
Person(s) authorized to pick up your child
*
Your answer
In Case of Emergency Contact Name
*
First and Last Name
Your answer
Emergency Contact Phone #
*
Your answer
Parent/Guardian Signature
*
Submitting this form will serve as parent/guardian signature that your child (children) can attend College Street Baptist Church MARK Club Program 2018-2019 school year and permission to ride the church bus if applicable. Please type your First and Last Name
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
Forms
