2022-2023 St. Alban's Children's Ministry Registration Form

2022-2023 Children's Ministry Registration Form

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

First NameLast Name
Primary Parent Contact's Name*

First NameLast Name
Primary Contact's Email Address*
Primary Contact Phone Number - What to Use in Case of Emergency*

Area CodePhone Number
Additional Adult Authorized to Pick Up your Child

First NameLast Name
Secondary Email Address
Secondary Phone Number

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Child's Date of Birth*

MonthDayYear
Any Allergies?
Child's Class/Grade in School*
Our 2s & 3s class begins at age 2 1/2 with open enrollment throughout the year.
Assist in the classroom (greet children and parents, help with transitions, etc.)Help make lesson materialsAssist in Children's Chapel: As a greeterAssist in Children's Chapel: As a story tellerAssist in Children's Chapel: As a worship leaderAssist in Children's Chapel: As a song leaderAssist in Children's Chapel: As a musician (piano, guitar, etc.)Assist with the Christmas Pageant (Christmas Eve)
St. Alban'sCathedralNot SureTell me more about what membership means!Other
YesNo
Any special needs or concerns you would like to share regarding your child?
Should be Empty:

2022-2023 Children's Ministry Registration Form