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)

   My Child is not old enough to attend Sunday School so . . .
         He/She will attend nursery (birth-age 2)  

         He/She will attend Toddler Room (3, 4, Pre-K)
 

   Any Allergies?  

   Special Needs?

   If Sunday School or Youth Group 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 a teacher's assistant times each quarter.

   I might be interested in occasionally teaching the following station(s):

         Art Science Kitchen Music Storytelling Games Video  Gardening

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

   I can organize, design a bulletin board or help decorate classrooms.

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

    Parent/Guardian Name