EdgewoodKidsRegistrationForm

Edgewood Kids Registration

Please fill the form below to let us know if you give go ahead for this child's participation.
1) Child’s Name*

First NameLast Name
Date of Birth*

MonthDayYear
Age*
Grade*
Special Needs or Allergies*
2) Child’s Name

First NameLast Name
Date of Birth

MonthDayYear
Age
Grade
Special Needs or Allergies
3) Child’s Name

First NameLast Name
Date of Birth

MonthDayYear
Age
Grade
Special Needs or Allergies
* If you are signing up more than 3 children, please submit another registration form for the remaining children.
Parent's Name*

First NameLast Name
Main Phone Number*

Area CodePhone Number
Other Phone Number

Area CodePhone Number
E-mail*
Would you like to receive text messages or emails with friendly updates of our upcoming children’s ministry events? *
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
The people (18+) listed below have permission to drop off and pick up my dependent(s).
1) Name

First NameLast Name
Phone Number

Area CodePhone Number
2) Name

First NameLast Name
Phone Number

Area CodePhone Number
CONSENT FOR MEDICAL TREATMENT | As the parent or legal guardian of the above-named participant, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor. This care may be given under whatever conditions are necessary to preserve the life, limb, or well-being of my dependent.
By signing and submitting this registraiton form, you understand and agree to all policies.
Parent/Guardian Signature*

First NameLast Name
Today's Date*

MonthDayYear
Comments and/or Questions:
Should be Empty:

Edgewood Kids Registration