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2011-2012

Children's Church Registration Form

People of The Bible

We are looking forward to another exciting year of Children's Church! Children's Church is for ages 2 1/2 years old through 5th grade.

*Indicates required fields

Child #1 Name:
Child #1 Age:
 
Child #1 Grade Entering 2011-12 School Year:







Child #2 Name:
Child #2 Age:
 
Child #2 Grade Entering 2011-12 School Year:






Child #3 Name:
Child #3 Age:
 
Child #3 Grade Entering 2011-12 School Year:





Child #4 Name:
Child #4 Age:
 
Child #4 Grade Entering 2011-12 School Year:





>

Parent/Guardian Names:

AND

Main Household e-mail address(es):

Our family normally will attend the:
 
Phone #:
 
 
Emergency Contact Name:
 
Emergency Contact Phone #:
 
 
If applicable, who may NOT pick up your children? (One name per line):

Are there any allergies or other health concerns we should know about?

Explanation of Allergies or other Health Concerns:

We also request that you volunteer for one of the following positions:
Classroom Shepherd (Weekly/bi-weekly or half year)
Bible Study Leader (Can lead one week up to as many as you want! Resources are provided.)
Worship Leader (Can lead one week up to as many as you want! You do not need to be musical.)
Craft Leader (One person per week)
Substitute Teacher (several on as-needed basis)

*To ensure security, please enter the word church in this box:

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