Child InformationThank you for partnering with us as your child grows closer to God. By completing this form you provide us with information needed to keep your child safe and assist him/her on this journey while spending time in the nursery or in Children's Church. Please enable JavaScript in your browser to complete this form.Child's Name *FirstLastNicknameGenderMaleFemaleDate of Birth *Current Grade Level *School Currently AttendingAgeAllergies/Medical Information *Guardian/Parent Name(s) *Address *Phone Number *Email *Worship Service We Typically Attend8am9am10:30amIf your child is in the nursery, my child is...in diaperspotty trainingpotty trainedPlease provide the necessary supplies if in diapers/potty training If your child is in the nursery, my child is...bottle fednursingeats regular foodPlease provide the necessary supplies if bottle feedingEmergency Contact and Phone Number *I give permission for the individual(s) listed to pick my child up. Please include phone number(s). *I give permission for my child to be photographed and/or recorded while participating in activities; photos and video content would be used for publicity, web content, advertising etc. *yesnoAnything else we should know to best assist your child?Submit
