Sunday Morning Child Visitor Form

Sunday Morning Child Visitor

Welcome! We're delighted you're planning to visit us. Please arrive early and follow the signs to the Shepherd's Kids Family Center entrance where our greeters will be ready to assist you. To save time at check-in, please fill in this form so our nurseries and classes will be ready for you. We look forward to meeting you!
Parent Name*

First Name(s)Middle NameLast Name
Mobile Number*
Emergency contact number that will be monitored during your visit
E-mail*
Parent Name

First NameLast Name
Mobile Number
E-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Which Sunday can we expect you?*

MonthDayYear
When will your child(ren) be in our classroom?*

8:30 AM Service9:45 AM Service11:10 AM service
Child Information

For each child, (Birth through grade 5) provide the full name, date of birth, age, grade (if in school) and any allergies or special instructions.
Child 1 Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Gender*

MaleFemale
Class Grouping*
Which option represents this child?
Special Instructions:
Child 2 Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Gender?

MaleFemale
Class Grouping
Which option represents this child?
Special Instructions:
Child 3 Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Gender?

MaleFemale
Class Grouping
Which option represents this child?
Special Instructions:
Child 4 Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Gender?

MaleFemale
Class Grouping
Which option represents this child?
Special Instructions:
Should be Empty:

Sunday Morning Child Visitor

Child Information