Does your child have any special needs that you would like us to know about? (i.e. allergies, developmental delays, anxiety, etc)? *
Your answer
Child #2 Name
Your answer
Child #2 Birthdate
MM
/
DD
/
YYYY
Child #2 Age
Your answer
Child #2 Grade for the 2023-24 School Year
Clear selection
Child #2 Baptized?
Clear selection
Does your child have any special needs that you would like us to know about? (i.e. allergies, developmental delays, anxiety, etc)?
Your answer
Child #3 Name
Your answer
Child #3 Birthdate
MM
/
DD
/
YYYY
Child #3 Age
Your answer
Child #3 Grade for the 2023-24 School Year
Clear selection
Child #3 Baptized?
Clear selection
Does your child have any special needs that you would like us to know about? (i.e. allergies, developmental delays, anxiety, etc)?
Your answer
Child #4 Name
Your answer
Child #4 Birthdate
MM
/
DD
/
YYYY
Child #4 Age
Your answer
Child #4 Grade for the 2023-24 School Year
Clear selection
Child #4 Baptized?
Clear selection
Does your child have any special needs that you would like us to know about? (i.e. allergies, developmental delays, anxiety, etc)?
Your answer
Address *
Your answer
Parent 1 Name *
Your answer
Parent 1 Phone Number *
Your answer
Parent 1 Address (if different than child)
Your answer
Parent 1 Email Address *
Your answer
Parent 2 Name
Your answer
Parent 2 Phone Number
Your answer
Parent 2 Address (if different than child)
Your answer
Parent 2 Email Address
Your answer
Where can we usually find you during our Sunday morning programming if a problem arises or your child becomes ill? Our policy requires that parents remain on the premises while your children are in our care. *
I understand that my child(ren) may be photographed or recorded for use in PPC's church materials, including PPC's website and social media pages. *
At Paoli Pres, Small Groups choose to do a bible study, read and discuss a book, tv show, podcast or whatever you decide. They are great for building community, getting to know other people and finding support within our church.
Would you be interested in attending a Parent Small Group if one were offered once a month on a Sunday Morning?
*
Would you be interested in leading a Parent Small Group?
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What time works best for you for the Parent Small Group? *
We understand that life is BUSY! This is why we are looking for PARENT VOICES to help us form a committee to discuss the future of Children's Ministry Programming. Let's work together to figure out what YOU need and how Paoli Pres might be able to adapt. *