First A. R. P. Children's Ministry Enrollment Form 2018-2019
Contact Information
Child's Name *
Your answer
Date of Birth *
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Grade for 2018-2019 School Year *
Disabilities/Special Needs: (if any) *
Your answer
Parent/Guardian Name *
Your answer
Relationship to Student *
Your answer
Street Address *
Your answer
Home Phone
Your answer
Cell Phone *
Your answer
Email *
Your answer
School (if applicable)
Your answer
Known Allergies and Prescribed Medications (please provide emergency treatment plan) *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Names of Adults Who Can Pick Up My Child *
Your answer
I give my child/children permission to attend and participate in children's ministry programs at First A. R. P. Church. *
I understand the four following expectations and expect these from my child: 1) use kind words and actions, 2) show respect for all, 3) obey their leaders, 4) clean up after themselves *
If at any time my child violates those expectations, I understand and approve that my child will be subject to the following disciplinary procedures: First Occurrence - reminder, Second Occurrence - warning coupled with parent notification, Third Occurrence - a meeting with the parents and designated staff member to determine consequences. (*zero tolerance for fighting, inappropriate touching, stealing, weapons, extreme disrespect) *
I understand and approve that I will be contacted if there are medical issues with my child. I assume full responsibility for any necessary care that my child may receive. I understand and approve that the adults who work with my child have my permission to obtain any medical attention they deem necessary for the health of my child. *
Required
I give permission for my child to be photographed by First A. R. P. staff/Approved Volunteers for use in social media and other church publications. *
I give permission for my child to be escorted out of Sunday School by Music Ministry volunteers (if applicable) to sing in a worship service.
By typing my full name below, I am certifying that the information in this form is accurate. *
Your answer
Date Signed: *
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