Children’s Ministry Registration Form
Ages 2-12
Parent/Legal Guardian’s Name
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Parent Phone
*
Parent Email
*
Home Address
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Child # 1 Name, Age, DOB
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Child # 2 Name, Age, DOB
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Child # 3 Name, Age, DOB
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Child # 4 Name, Age, DOB
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Child # 5 Name, Age, DOB
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Child # 6 Name, Age, DOB
*
Emergency Contact (Name, Phone, Email)
*
Do and of your children have special needs? Please list the name and the need.
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Do any of your children suffer from any medical conditions or allergies? If yes, please be specific in name of child and allergy. (Also, include any medications your child may take).
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In the children’s ministry we value parental support. For this reason we ask our parents to contribute their time, money or resources to support the ministry. Please select which you can commit to.
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Financial Contribution
Field Trip Volunteer
Summer VBS Volunteer
Parent Child Room Monitor
Special Events Volunteer
Parent Coordinator (Parent group for staying informed)
TWC Parental consent hold harmless agreement & medical release form
Please read the form below and sign below acknowledge your understanding.
Signature
*
Submit
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