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Children's Ministry Registration
This form is to be completed by a parent/guardian before a child attends a children's ministry of Second Baptist Church
* Indicates required question
Email
*
Record my email address with my response
Child's Name (First and Last)
*
Your answer
Child's Birthdate
*
MM
/
DD
/
YYYY
Current School Grade:
*
Pre-k
K
1
2
3
4
5
6
7
8
9
10
11
12
Address
*
Your answer
Parent/Guardian Name 1
*
Your answer
Relationship to child 1
*
Your answer
Parent/Guardian Phone Number 1
*
Your answer
Parent/Guardian E-mail address 1
*
Your answer
Parent/Guardian Name 2
Your answer
Relationship to child 2
Your answer
Parent/Guardian Phone Number 2
Your answer
Parent/Guardian E-mail address 2
Your answer
Allergies
*
Your answer
Medical Concerns
*
Your answer
Special Considerations
*
Your answer
I give permission to SBC to use photos of my child for church publications, social media and promotional materials.
*
I give permission
I DO NOT give permission
Required
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