Children's Ministry Registration and Consent Form

Child's Name

Birth Date

Which class does your child participate in?

(915AM) Pre-K Ages 3 - 5 (915AM) Kids Own Worship Ages 6 - 12 (11AM) Children's Church Ages 3 -12 Nursery 0 - 36 months

Grade (if applicable)

Name of Parent or Guardian(s)

Cell #

Please include a cell phone number of a parent or guardian who will be in the building during the church service in the event that we need to contact you.

MORE ABOUT YOUR CHILD

Does your child have any allergies?

Yes No

Allergies

Does your child have any behavioural issues we should know about?

Yes No

Behaviour Notes

Additional contact info (Phone/Emergency Contact) you would like to share with us or any additional information we should know about your child

PERMISSION

Trinity Bible Church is collecting and retaining this personal information for the purpose of enrolling your Child in our programs, to assign the student to the appropriate classes, to develop and nurture ongoing relationships with you and your Child, and to inform you of program updates and upcoming opportunities at our organiation. This information will be maintained indefinitely as it is a requirement of our insurance company and legal counsel. if you wish Trinity Bible Church to limit the information collected, or to view your Child's information, please contact us.

I have read, understood and agree to the above (2018-2019)

Yes

Today's Date

Email Address of Parent or Guardian

This address will receive a confirmation email

Description

Information recieved is confidential and is being gathered for the purposes of serving your Child while in the care of Trinity Bible Church. Any information collected here serves to authorize Trinity Bible Church and its staff and volunteers to obtain assistance in emergenies.

Children's Ministry Registration and Consent Form

Description

Please Fix the Following