Children’s Ministry Event Sign-up

Child's Name

First Name

Last Name

Age

Date of Birth

YYYY

Allergies

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Phone

(###)

###

####

Contact Email

Other Information About Your Child

Is there anything else we should know about your child?

May We Have Permission to Include Your Child in Photographs and Videos Taken At The Event?

Please choose one option

Yes, you have permission

Please do NOT photograph my child