Grace Kids Sunday School and Nursery Registration

GRACE Kids Sunday School and Nursery Registration

Nursery and Sunday School is offered for children 6 weeks old - 5th grade at 9am & 10:30am on Sunday mornings. The 2019-20 Sunday School year begins on September 15.
Guardian #1 Name *

Prefix First Name Last Name
Are you a:

Member Regular Attendee Visitor
Guardian #2 Name

Prefix First Name Last Name
Are you a:

Member Regular Attendee Visitor
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Address of Parent if not living with child

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Guardian #1 Best Contact Number *

Area Code Phone Number
Guardian #2 Best Contact Number

Area Code Phone Number
Primary E-mail *
I give my child(ren) permission to participate in all Sunday School or Nursery activities and to receive first aid treatment, if necessary.

I give permission for photos or video to be taken of my child(ren) during the program or event and to be used for publicity or program purposes (without names attached).
*

I agree to the above releases
Name of 1st Child: *

First Name Last Name
Birthdate: *

Month Day Year
Date
Age: *
Gender: *

Male Female
Grade in 2019-20: *
School: *
Allergies, Medical Concerns, or Special Needs:
Name of 2nd Child:

First Name Last Name
Birthdate:

Month Day Year
Date
Age:
Gender:

Male Female
Grade in 2019-20:
School:
Allergies, Medical Concerns, or Special Needs:
Name of 3rd Child:

First Name Last Name
Birthdate:

Month Day Year
Date
Age:
Gender:

Male Female
Grade in 2019-20:
School:
Allergies, Medical Concerns, or Special Needs:
Name of 4th Child:

First Name Last Name
Birthdate:

Month Day Year
Date
Age:
Gender:

Male Female
Grade in 2019-20:
School:
Allergies, Medical Concerns, or Special Needs:
AUTHORIZED PICK-UP INFORMATION

GRACE Kids will be using a secure child check-in system for all Sunday School classes and Nursery. Please list the names of individuals (other than guardians listed above) that are authorized to pick up your child(ren). In the event that a parent security tag is lost, children can only be released to parents/guardians or individuals listed below, after showing proper ID.
Name #1

First Name Last Name
Relationship
Phone Number

Area Code Phone Number
Name #2

First Name Last Name
Relationship
Phone Number

Area Code Phone Number
Name #3

First Name Last Name
Relationship
Phone Number

Area Code Phone Number
RED FLAG: This person is NOT authorized to pick up my child(ren):
Name

First Name Last Name
Should be Empty:

GRACE Kids Sunday School and Nursery Registration