Fall 2017 – Summer 2018 Children’s Ministry Registration

Parent's Information
This is the phone we will use on Sunday AM to contact you in case of emergency.
We will use this as a secondary emergency contact number on Sunday mornings.
Information about Child
Note: We ask that children be registered for the class that matches the class they are, or will be, in in school.

Please complete the Special Blessings Intake Form.

e.g. Sensory sensitivities or physical limitations

PLEASE NOTE: We CANNOT guarantee that these have been produced in facilities that do not also produce food containing nuts.

Information about Child 2
Note: We ask that children be registered for the class that matches the class they are, or will be, in in school.

Please complete the Special Blessings Intake Form.

e.g. Sensory sensitivities or physical limitations

PLEASE NOTE: We CANNOT guarantee that these have been produced in facilities that do not also produce food containing nuts.

Information for Child 3
Note: We ask that children be registered for the class that matches the class they are, or will be, in in school.

Please complete the Special Blessings Intake Form.

e.g. Sensory sensitivities or physical limitations

PLEASE NOTE: We CANNOT guarantee that these have been produced in facilities that do not also produce food containing nuts.

Information for Child 4
Note: We ask that children be registered for the class that matches the class they are, or will be, in in school.

Please complete the Special Blessings Intake Form.

e.g. Sensory sensitivities or physical limitations

PLEASE NOTE: We CANNOT guarantee that these have been produced in facilities that do not also produce food containing nuts.

If so, we ask that you please finish the questions below and submit a new form.

Authorizations

NOTE: Nursery, Toddler 1, Toddler 2 and Toddler 3 rooms use a pager and sign-in system for child drop-off & pick-up. The person picking up your child must have the pager.

(choose one)
Mid-Week Programs