Good News Kids Registration
Parent/Guardian #1
First Name
Last Name
Address/City/State/Zip
*
Cell Phone
Email Address
Parent/Guardian #2
First and Last Name
Address/City/State/Zip
Phone:
Email:
Emergency Contact for Child (In case we can't get a hold of you)
First and Last Name
*
Relationship:
*
Phone:
*
Child Information
Child #1
First and Last Name
*
Date of Birth
*
Grade or Age (As of September 1)
*
3 year old
4 year old
Pre-School
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Allergies:
*
Anything else that you would like us to be aware of?
What are your registering your child for at Good News?
*
Sunday School
Wednesday Nights
Child #2
First and Last Name
Date of Birth
Grade or Age (As of September 1)
3 year old
4 year old
Pre-School
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Allergies:
Anything else that you would like us to be aware of?
What are your registering your child for at Good News?
Sunday School
Wednesday Nights
Child #3
First and Last Name
Date of Birth
Grade or Age (As of September 1)
3 year old
4 year old
Pre-School
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Allergies:
Anything else that you would like us to be aware of?
What are your registering your child for at Good News?
Sunday School
Wednesday Nights
Child #4
First and Last Name
Date of Birth
Grade or Age (As of September 1)
3 year old
4 year old
Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Allergies:
Anything else that you would like us to be aware of?
What are your registering your child for at Good News?
Sunday School
Wednesday Nights
If you agree to the following, please check the boxes and type your name below.
*
I am the parent or guardian of the children being registered
If emergency medical care is needed and I am unavailable, I authorize the supervising staff or volunteers to seek medical treatment for my child.
I give permission for my childs pictures of classroom activities and projects to be posted on the church website
Typed Name:
*
Submit