Good News Kids Registration
Parent or Guardian Information
First Name
*
Last Name
*
Address/City/State/Zip
*
Phone:
*
Email:
*
Parent/Guardian #2
First Name
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
First and Last Name
*
Date of Birth
*
Grade or Age (As of September 1)
*
Birth to 35 months (Nursery)
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
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:
*
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