Child's Name
*
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birth date
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Grade
*
Nursery
Toddler
Preschool
Kindergarten
First
Second
Third
Fourth
Fifth
Sixth
School
*
Child's Involvement at Faith Community Church for the 2025-2026 school year
Sunday School (3 years & older)
Toddler Kids' Church (3 years old by Sept. 1)
Preschool Kids Church - (4 years old by Sept. 1)
Prek/Kindergarten Kids Church - (5 years old by Sept. 1)
Kids' Church (1st -6th)
Faith Club (Preschool through 6th grades)
Nursery: Sunday School
Nursery: Worship Service
Nursery: Family Nights
Parent / Guardian Name(s)
*
Email Address
*
Please list preferred e-mail address(s) Email is our primary means of important communication. We encourage you to check it weekly to stay informed
Second Email
example@example.com
Primary Phone Number
*
-
Area Code
Phone Number
To whom does this number belong?
*
Mom Cell
Dad Cell
Guardian Cell
Home Phone
Secondary Phone Number
-
Area Code
Phone Number
To whom does this number belong?
Mom Cell
Dad Cell
Guardian Cell
Home Phone
Do the child's grandparents attend Faith? If yes, please list names.
Who does the child live with?
*
Mom
Dad
Both
Other
Please fill in the other information
Name
Relationship to Child
Phone Number
-
Area Code
Phone Number
Who brings your child?
You
Spouse
Grandparent
Older Sibling
Other
Name
Phone Number
-
Area Code
Phone Number
Does your child have any special needs, food/medical allergies, behavior, or emotional concerns that we need to know about to help your child?
*
Yes, one of our staff team members will contact you. .
No
If Yes, please describe: (Note: This information will be shared with your child's teachers/care givers at Faith Community Church)
What goals do you have for your child this year at church?
What else would you like us to know about your child or family?
Where would you say your child is on their spiritual journey?
Unsure
Seeking/Questioning God
Know Jesus as Savior
Other
When and Where?
Does your 1st - 6th child own a Bible?
Yes
No
How can we pray for and encourage you?
Information will be shared with your child's teachers. If you prefer to keep this confidential, check this box.
Submit
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