Children's Ministry Registration Form

2014-15 Children's Ministry Registration Form
PLEASE COMPLETE A SEPARATE FORM FOR EACH CHILD REGISTERED.
Child's Name*
First NameLast Name
Primary Parent Contact's Name*
First NameLast Name
Primary Contact's Email Address*
Primary Contact Phone Number*
Area CodePhone Number
Additional Adult Authorized to Pick Up your Child
First NameLast Name
Secondary Email Address
Secondary Phone Number*
Area CodePhone Number
Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry
Child's Date of Birth*
MonthDayYear
Any Allergies?
Child's Grade in School*
How would you like to volunteer this year?
Assistant in the classroom (Assist catechists with lessons, help with materials, take attendance, etc.)Help make materials for the classroom.Assist in Children's Chapel: As a greeterAssist in Children's Chapel: As a story tellerAssist in Children's Chapel: As a worship leaderAssist in Children's Chapel: As a song leaderAssist in Children's Chapel: As a musician--we have an urgent need for this position (piano, guitar, etc.)
At which Children's Chapel would you prefer to volunteer on Sunday mornings?
9:15 a.m. Children's Chapel11:15 a.m. Children's Chapel
Any special needs or concerns you would like to share regarding your child?
Should be Empty:

2014-15 Children's Ministry Registration Form