Children's Ministry Registration Form 2019-2020
This form is for any child attending nursery or Sunday school during the 2019 -2020 school year
Your Child / Children's Names & Date of Birth (one child per line - pressing return will reveal more lines)
Your answer
Parent / Guardian Name(s
Your answer
Address
Your answer
Cell Phone Number & Name
Your answer
Email Address (will used to send newsletter)
Your answer
Alternate Contact Person & Relation to Child
Your answer
**Allergies / Dietary Restrictions / Medical Concerns
Your answer
I hereby give permission for my child to leave the church with the following persons named below (picture identification required upon request): It is the responsibility of parents/guardian to notify the nursery program , in writing , of any changes.
Your answer
Names of persons who may NOT pick up the child, if there is a separation, divorce, or custody issue of which we should be aware, please explain
Your answer
PHOTO RELEASE: I grant Saint Paul Presbyterian Church permission to use my child's photograph in any official publicity pieces, including, but not limited to, the church web page and Facebook page.
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