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Registration

Nursery is designed for babies - 3 year old's

Children's Church is designed for 4 year old's through 3rd Grade

Children's Church and Nursery must have registration filled out on each child and a picture of the child with anyone that is authorized by the parent/guardian to pick up the child registered.

By registering and sending my child/children to Children's Church and/or, I authorize that my child may be photographed, filmed for use in crafts, videos, prints, and Web presentations.

Child's Full Name

Date of Birth

Allergies/Special Needs

Grade

List names of those authorized to pick up child.

Parent/Guardian Full Name

Phone

*Please list names and phone numbers of both parents/guardians

Address

Email

Parent/Guardian Sunday School Teacher and location

*Please list class information for both parents/guardians

Children's

Church

& Nursery

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