*Child's Full Name: *<required field>

Goes By:

*Gender: Boy Girl

*Date of Birth: (mm/dd/yyyy)

Date of Baptism: (mm/dd/yyyy)

School:

*Parent 1:

*Home Address:

*Home Phone:

Work Phone:

Cell Phone:

*E-Mail Address:

Parent 2:

Home Address:

Home Phone:

Work Phone:

Cell Phone:

E-Mail Address:

Comments (special needs, allergies, or other pertinent info):

Parent Participation

There are a variety of ways parents can participate in Children's Ministry.
What are your gifts and how do you wish to be involved?

Please check all that apply:

Godly Play (assisting in classroom, training to be a Godly Play Teacher

Leading music in Children's Chapel

Leading Children's Chapel

Serving on the Children's Ministries Council

Serving as a Children's Event Chairperson (Parish Picnic Games, Halloween, etc.)

Other Ideas: