Child's First Name *

First Name

Last Name

Birthdate *

MM

DD

YYYY

Name(s) of Parents(s)/Guardian(s) *

First Name

Last Name

Home Phone *

Country

(###)

###

####

Cell *

(###)

###

####

Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Permission: *

May we send you weekly email updates and announcements?

Yes

No

Photo Permission: *

Please check the box if you give permission for your child's photograph/name to be used.

Yes, my child’s photo can be taken for a Church School Directory/Yearbook.

Yes, my child’s photo may be shown on the church website. (Please note the photo will not be identified with your child’s name online.)

Allergies *

Does your child have any allergies/health conditions that we should be aware of?

Yes

No

Christmas Pageant *

What would work best for your family?

Pageant on Christmas Eve (Sunday) at 4:00pm, rehearsals starting in November after Sunday worship

Pageant on Sunday December24, 10:30am worship, rehearsals starting in November after Sunday worship

We're not interested in participating in the pageant this year

Volunteering *

Please check all of the ways that you would like to volunteer as parent/guardian

Sunday School (teaching or assisting)

Nursery (assisting care-provider with 0-2 year olds)

Youth group (monthly events for older children)

Christmas Pageant

Other (please specify below)

Your Name *

First Name

Last Name