Children's Ministry Form
Please fill out the information below to register your child for Sunday School and/or God's Kids/Justice League for the year of 2019-2020.
Child's Name *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Grade/Age *
Your answer
I would like my child to be part of... *
Does your child like to sing? *
Allergies *
If none, please write "N/A" in the space below.
Your answer
Parent/Guardian Name(s) *
Your answer
Parent/Guardian Phone Number(s) *
Please give the best phone number to reach you on, a secondary phone number and indicate who it belongs to.
Your answer
Parent/Guardian Email(s)
Your answer
If parents are not available in the case of an emergency, please notify.... *
Please include full name, cell phone number and relationship to the child.
Your answer
Please list any concerns we may need to know so we can accommodate as needed. *
Behavioral issues, learning disabilities, etc. If none, please write "N/A" in the space below.
Your answer
Parent Emergency Authorization *
I give permission for my minor child(ren) to participate in the Children's Ministry of Advent. This includes Sunday School, God's Kids and/or Justice League. In the event of a medical emergency, I understand every effort will be made to contact the parents/guardians of the minor child. If I cannot be reached, I hereby give permission to the medical personnel selected to hospitalize, to secure proper treatment for, to order injection, anesthesia, or surgery for my minor child named on this form, as necessary.
Required
In cases of minor cut or scrape, I would like to be notified via... *
Parent Media Authorization *
Furthermore, I understand that by participating in the Children's Ministries at Advent Lutheran Church that I am also allowing Advent Lutheran Church to use any pictures or video taken of my minor child in publicity, including, but not limited to: www.adventolathe.org or other websites (Facebook, Twitter, Instagram, YouTube, etc.), newsletters, bulletin boards, fliers, and any other publications/publicity of Advent Lutheran Church.
Required
Parent/Guardian Signature *
By signing electronically to this form, I am acknowledging that I understand the above agreements and agree with my choices.
Your answer
Any updates to personal/family information for our new database, Breeze? *
Phone numbers, emails, new house address, etc. If none, please write "N/A" in the space below.
Your answer
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