Children's Ministry Registration

Child's Full Name

Nickname - if applicable

Date of Birth

Home Address

Grade

School

Allergies

Special Needs

Favorite Color

Favorite Healthy Cracker or Cookie

Anything else we should know about your child?

Parent/Guardian Information

Parents/Guardian Name

Relationship to Child

Parent/Guardian Email

This address will receive a confirmation email

Parent/Guardian Phone

Parent/Guardian Address

Parent/Guardian 2 Name

Relationship to Child

Parent/Guardian 2 Email

This address will receive a confirmation email

Parent/Guardian 2 Phone

Parent/Guardian 2 Address

Emergency Contact

Emergency Contact Name

Relationship to Child

Phone Number

In the event of an emergency and I cannot be reached, authorize Grace Episcopal staff and volunteers to seek emergency medical treatment for my child.

Hospital of Choice

Photo & Social Media Permission

Throughout the year, our church may take photographs and videos during church activities, events, and programs. These may be used on our social media pages, church publications, promotional materials, and website.

PLEASE SELECT ONE:

YES, I give permission for my child to be photographed and/or included in videos for church-related purposes. NO, I do not give permission for my child to be photographed and/or included in videos.

Parent/Guardian Type Name as Signature of Authorization

Other Information

Name of other adults authorized to pick up your child?

Description

Please register your child(ren) for Grace Sunday School. You will need to complete a new form for each child. Thank you!

"Let the little children come to me." ~ Matthew 19:14

We can't wait to spend time learning, growing, and having fun together!

Children's Ministry Registration

Description

Please Fix the Following