Student Information Form
2020
Today's Date
*
-
Month
-
Day
Year
Please fill out one form per child. All information on this form is considered confidential and will be used by The Tabernacle Preschool, Children's, and Youth Ministry Department for the sole benefit of your child's personal ministry.
Child's name
*
First Name
Last Name
Name of Parent / Guardian
*
First Name
Last Name
Name of Parent / Guardian 2
First Name
Last Name
Gender
*
Boy
Girl
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone (Must be able to text)
*
-
Area Code
Phone Number
Home Phone
-
Area Code
Phone Number
Email
*
example@example.com
To whom may we release your child?
*
In what school district is your child's school?
What school does your child attend?
Child's Birthday
*
-
Month
-
Day
Year
Date
Grade Level
*
Preschool (3-4 yrs old)
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Special involvement at school
(Speech, hearing, gifted/talents, behavior issues, etc.)
Allergies
Are you able to help in your child's class?
*
Yes
No
Are we allowed to take photographs that include your child?
*
Yes
No
May we release photos of your child on social media / our website?
*
Yes
No
Submit
Should be Empty: