Fall 2016 – Summer 2017 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.
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.
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.
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.
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