Children's Ministry Registration Form

Basic Information

Welcome! We're glad you're here. Please fill out the information below.

Parent's Name

This address will receive a confirmation email

Phone

Address

Child's Name 1

Birth Date Child 1

Child's Name 2

Birth Date Child 2

Child's Name 3

Birth Date Child 3

Additional Children

Emergency Contact Information

Emergency Contact Name

Emergency Contact Phone

Relationship to Child

Please enter any Allergies or Medical Conditions, Medications, Comments or Special Medical Info below.

Allergies or Medical Conditions

Additional Information

How did you hear about us?

Are you interested in receiving more information about our church?

Yes No

Would you like to be added to our mailing list?

Yes No

Photo and Video Consent

We occasionally take photos and videos during Sunday School activities to share on our church's website, social media, and promotional materials. Please indicate below if you give permission for your child's photo or video to be taken and used for these purposes.

I give my consent for my child(ren) to have their photo or video taken

Yes No

Consent and Release

I give permission for my child to participate in OVC activities. I understand that all reasonable safety precautions will be taken by the leaders and volunteers of the church. I authorize medical treatment for my child in case of an emergency.

Signature of Parent/Guardian

Date

Typing your name above and submitting this form serves as your digital signature.

Thank you for filling out this form. We look forward to getting to know you and your family!

Description

Please fill out this form and click submit for Children's Ministries!

This form is made secure by Breeze Church Management Software.

Children's Ministry Registration Form

Thank you for filling out this form. We look forward to getting to know you and your family!

Description

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