Children's Ministry Registration Form
This registration form ensures the safety of your child while he/she is in our care. It covers all regular and one-time events that are provided by our Children's Ministries.
Email address *
Child's Name and Grade (if applicable) *
First and last name.
Your answer
Child's Date of Birth
MM
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DD
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Parent's Name *
Your answer
Parent/Guardian Cell Phone Number(s) *
First and Last Name and Phone Number (please include all you think would be useful)
Your answer
Ministry Requested
Agreement with Westminster Children's Ministry Policies *
Please check the following boxes to indicate your understanding of and agreement with the policies of our Children's Ministry program.
Required
Does your child have any allergies, medications or special medical concerns that we should be aware of?
If yes, list all that apply.
Your answer
Useful Information about your Child
We want to provide the best possible care for your Child. What should we know? Are they potty training? Are snacks ok? Do they have any behavioral challenges? Special interests?
Your answer
Should your child's activities be restricted for any reason? *
For children 2nd grade and under, please indicate the names of any adults that may collect your Child (with their security tag) at the end of the Class or service.
Your answer
For children 3rd grade and older, please indicate if you give consent for your child to be release at the end of Class without a parent present.
Date of Parent Permission *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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