Today's Date (MM/DD/YY)

   Name of Parent or Guardian

   Other persons authorized to pick up child:
 

  
   Child's Age       Child's DOB (MM/DD/YY)  
   Child's Grade (This Fall they will attend)  (K-8th)
 

   Any Allergies?   

   Special Needs? 

   If "Growing Hour" is in need of help in the following areas, give me a call.

   (check all that apply.)

   I am committed to helping our church meet the "Safe Sanctuary" guidelines,
         and can volunteer as an assistant times each quarter.

   I can provide an extra pair of hands on a Sunday if someone is away.

   I can can help teach the following arts...

         Bell Choir Children's Choir  Drama  Dance  Art   Puppetry

   Sorry, I am unable to help at this time.  Please ask me again at a later date.

    Parent/Guardian Name