CBCGL Child Information Form 2018-2019
The following form is required for EVERY CHILD (newborn to 6th grade) attending any children’s program in CBCGL.
Please fill out the form EVERY SCHOOL YEAR and return to Children’s Ministry.
參加任何兒童活動的小孩必須每學年完成這項表格。请把填好的表格递交给儿童事工的同工。

Please note that the parents are to pick up their children at the end of our children’s programs (regular
programs are conducted during 9:45-12:30pm on Sundays and 7:30-9:30pm on Fridays).
Our church cannot take responsibility for the children beyond our program time.

www.lowell.church 197 Littleton Road Chelmsford, MA 01824 Tel: (978) 256 3889

1st Child - First Name (English):
Your answer
Child - Last Name (English):
Your answer
Child - Name (Chinese if any):
Your answer
Gender:
Date of Birth:
MM
/
DD
/
YYYY
Grade Level
Special needs (including allergies) and instructions to ministry coworkers
Your answer
What does he/she regularly attend:
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