Child Registration 2019-2020 KidzRock ~ WOW ~ JUMP56
SUNDAY KidzRock runs September 8th through May 17th from 9:30 am - 10:30 am. Drop off starts at 9:20am.
The following Sundays we do not meet: Dec. 1st, Dec. 22nd, Dec. 29th, March 15th, March 22nd and April 19th.
**3 year olds MUST TURN 3 BY September 15, 2019.
WEDNESDAY WOW and JUMP56 runs September 11th through November 20th and then January 22nd through April 29th. We take a break for Advent and then take spring break week off. If Cedar Falls Schools gets out early or is canceled on a Wednesday due to weather that automatically cancels Wednesday night student programming.
Questions or Concerns:
or call NAZ at (319) 266-7589 or direct them to the following Children's team member:
Kim Albertsen, Director of Children's and Family Ministry ~
Nolan Baskins, Children's Ministry Assistant (Volunteers and WOW Fall 2019 semester) ~
Meg Husted, Family Coordinator ~
Abby Jolivette, WOW Coordinator (Spring 2020 semester)~
My child will be attending
Sundays Only - KidzROCK (Preschool - 6th Grade)
Wednesdays Only - WOW (Kindergarten - 4th grade) or JUMP 56 (5th and 6th Grade
Both Sundays and Wednesdays
Child's First Name
Child's Last Name
Child's Date of Birth
3 Year Old Pre-K (3 years old by Sept 15, 2018) - only Sundays
4/5 Year Old Pre-K - only Sundays
Medical Conditions and/or Behavioral Concerns (Including Allergies)
If your child has no known medical conditions or behavioral concerns, please type none.
Child's Current School
Child's Mailing Address
Parent/Guardian First and Last Name
Parent/Guardian Phone Number
Parent/Guardian Mailing Address if different than the child's
Secondary Parent/Guardian First and Last Name
Secondary Parent/Guardian Email Address
Secondary Parent/Guardian Phone Number
Do you have a "KidCheck" account?
What is the phone number associated with the KidCheck account?
Photo/Video Release: Photographic and Video Recording devices will be used at this event and the images captured could be used for publicity and/or historical purposes in a print or web-based media outlet.
YES. I grant Nazareth Evangelical Lutheran Church permission to use my child's likeness and name in photographs, video recordings and/or electronic images in any and all of its publications, including website entries and social media posts.
NO. I do not grant Nazareth Evangelical Lutheran Church permission to use my child's likeness in photographs, video recordings and/or electronic images in any and all of its publications, including website entries and social media posts
Does Children's Ministry have permission to give your household information to the Nazareth Church Database? This will include receiving a few extra emails a year (for example, fall kick off, Christmas and Easter invites, plus the 4 quarterly newsletters).
Yes I give permission for my household information to be given to Nazareth to update the database and used for what we have agreed upon
No I do not wish to at this time.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Nazareth Evangelical Lutheran Church.