True Life Kids Ministry
Registration Form
I would like to sign my child up for...
*
Sunday School
Wednesday Night Classes
Child's Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Grade Entering in Fall of 2024
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Parent/Guardian Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Emergency Contact Name
*
First Name
Last Name
Relationship
*
Phone Number
*
Please enter a valid phone number.
Any Allergies or Medical Conditions?
*
Yes
No
Please give details
Do you want to add something about your child?
I, undersigned, agree with the following statements:
*
I am the parent/guardian of the child indicated above.
If emergency medical care is needed and I am unavailable, I authorize the supervising teacher to seek medical treatment for my child.
I am giving my permission to take my child's pictures for classroom projects and post them on the church website.
Date
-
Month
-
Day
Year
Date
Signature
*
Submit
Submit
Should be Empty: