Children's Ministry Registration Form

2023-2024 Children's Ministry Registration Form

PLEASE COMPLETE A SEPARATE FORM FOR EACH CHILD REGISTERED.
Child's Name*

First NameLast Name
Child's Grade in School*
Child's Date of Birth*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Any Allergies?
Primary Parent Contact's Name*

First NameLast Name
Primary Contact Phone Number*

Area CodePhone Number
Primary Contact's Email Address*
Additional Parent or Authorized Adult

First NameLast Name
Secondary Phone Number*

Area CodePhone Number
Secondary Email Address
How would you like to volunteer this year?

Help with story tellingAssistant for yearly events and activities (setting up and helping with coordination)When things settle a bit in my schedule I can help.
Any concerns you would like to share regarding your child?
Should be Empty:

2023-2024 Children's Ministry Registration Form