Kids Church Registration 2022-2023

Name (child 1)*

Date of Birth*

Date

Grade*

Name (child 2)

Date of Birth

Date

Grade

Name (child 3)

Date of Birth

Date

Grade

Name (child 4)

Date of Birth

Date

Grade

Responsible Party(ies)

Home Address*

City*

State*

Zip*

Parent/Guardian #1 Name*

First NameLast Name

Parent/Guardian #1 Cell Phone*

Parent/Guardian #1

Parent/Guardian #1 Email*

example@example.com

Parent/Guardian #2 Name

First NameLast Name

Parent/Guardian #2 Cell Phone

Parent/Guardian #2 Email

example@example.com

I want to receive regular updates on Vineyard Church of DuPage Children's activities and events by email*

yesno

Allergies

Do you give your children permission to use the bathroom by themselves?*

yesnoOther

Do you give your children permission to have a drink or snack?*

yesnoOther

Do your children have any special needs or is there anything you would like us to know that would enable us to provide the best care?

Please list the full names of any other adults authorized to drop off/pick up your child(ren) from class.

o Sign-in begins at 9:45 am.

o Unless prior arrangements are made with the sign-in worker, the person who signs in the child must be the same person to sign him out. We will not bring your child to you after the close of the service. Please sign out your child promptly after the service.

o We will not take children to the bathroom during class. Please encourage your child to use the bathroom before dismissal to class. Children whose parents have given permission for them to use the bathroom during class will be allowed to leave the room, one at a time, if needed.

oPlease do not send food, drinks, toys, or electronic devices with your child to class. Please read the following statement and sign below in order to authorize your child’s participation in our Kids Church. The undersigned parent/guardian grants the above named children permission to participate in the Vineyard Church of Du Page’s Children’s Church, and assumes all responsibility for any injuries and any loss or damage of property that may occur. The undersigned also indemnifies and holds harmless the Vineyard Church of Du Page, a member of the Association of Vineyard Churches, and any and all leaders supervising such activity, against any and all direct or indirect claims and damages whatsoever in connection with participation in Children’s Church.

I hereby consent to the participation in interviews, the use of quotes, and the taking of photographs, movies or video tapes of the Student named above by Vineyard Church of DuPage. I also grant to Vineyard Church of DuPage the right to edit, use, and reuse said productions for nonprofit purposes including use in print, during church services, and on the internet.

yesno

Parent/Guardian Name

Parent/Guardian Signature

Date

*Parent Copy*

The Vineyard Church of DuPage Kids Ministry exists to nurture the development of each child’s lifelong relationship with God. Our vision is to partner with parents, teachers, and the church body to disciple kids. Our goal is to help them experience God and develop a relationship with Him. We hope to help kids find out who God has made them to be, and guide them into becoming leaders in the church and in the world around them. We strive to accomplish this while being “biblically thoughtful, spiritually powerful and culturally relevant.” Each week during Kingdom Adventure, kids are given the opportunity to connect with God through worship and to learn about God’s Word in a fun and interactive way. They will be challenged to link what they learn to their own lives. Our goal is that each child who walks through our doors will feel loved by God and the church. We would love to hear from you! Please direct any questions or concerns to the Children’s Directors, Olivia Frederick and Haydee Wenholz kidschurch@dupagevineyard.org.

o Sign-in begins at 9:45 am.

o Unless prior arrangements are made with the sign-in worker, the person who signs in the child must be the same person to sign him out. We will not bring your child to you after the close of the service. Please sign out your child promptly after the service.

o We will not take children to the bathroom during class. Please encourage your child to use the bathroom before dismissal to class. Children whose parents have given permission for them to use the bathroom during class will be allowed to leave the room, one at a time, if needed. o Please do not send food, drinks, toys, or electronic devices with your child to class.

VCD Kids Church Registration 2022-2023

Permission and Waiver