New Registrations

Grace Kids & Students

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Name

First Name

Last Name

Phone

(###)

###

####

Select

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

CHILD REGISTRATION

Name

First Name

Last Name

Date of Birth

YYYY

Gender

Allergies and/or important medical information:

This would include food allergies, special needs, behavioral triggers, etc.--anything that you feel would help us to care well for this child.

Children's Church Class

CHILD REGISTRATION 2

Name

First Name

Last Name

Date of Birth

YYYY

Gender

Allergies and/or important medical information:

This would include food allergies, special needs, behavioral triggers, etc.--anything that you feel would help us to care well for this child.

Children's Church Class

CHILD REGISTRATION 3

Name

First Name

Last Name

Date of Birth

YYYY

Gender

Allergies and/or important medical information:

This would include food allergies, special needs, behavioral triggers, etc.--anything that you feel would help us to care well for this child.

Children's Church Class

ADDITIONAL CHILDREN

For any additional children, please list their first and last name, date of birth, gender, the Children's Church class with which they will be a participant, along with any allergies/important medical information here:

PERMISSION TO USE CHILD(REN)'S PHOTO

Your child(ren) may be photographed or filmed while participating at Grace Church. Their photo may be used for promoting or sharing activities from Children's Ministry or church related events in print materials and/or electronically on the internet.

Please choose one:

PAGERS + AUTHORIZATION TO DROP OFF/PICK UP CHILD(REN)

You will be given a pager at drop-off that will be used to alert you should we need you to return to the CE wing. These pagers must be returned at the time of pick-up. Child(ren) will only be released into the care of the caregiver/adult who has the pager assigned to that child.

ELECTRONIC SIGNATURE

Name

First Name

Last Name

Today's Date

YYYY

New Registrations

Grace Kids & Students

Office Hours

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