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CHILDREN’S!MINISTRY!REGISTRATION!
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Student!name:!________________________________________________________________________________________________!
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Age:!______________________!!!
!!!!!!!!!!!!!!!Grade:!______________________!!!!!!!!!!!!!!!!!!!!!!!!!Sex:!_____________________!
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For!your!child’s!safety,!please!list!all!food!and!material!allergies:!_______________________________________!
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_________________________________________________________________________________________________________________!
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Are!there!any!specials!needs!or!concerns!you!would!like!Children’s!Ministry!to!be!aware!of?!
(All!information!disclosed!will!be!confidential!and!shared!only!with!teachers/leaders/care!givers.)!
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_________________________________________________________________________________________________________________!
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Please!list!your!child’s!strengths:!___________________________________________________________________________!
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Strategies!that!are!helpful!with!my!child!include:!________________________________________________________!
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_________________________________________________________________________________________________________________!
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Occasionally,!photographs!are!taken!of!children!at!Kid’s!Church!and!during!special!events.!!These!
photographs!may!be!used!for!classroom!crafts,!bulletin!boards,!church!slideshows!or!placed!on!
our!church!website.!!(Please'check'one'of'the'boxes'below)!
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Yes,!church!leaders!have'my!(our)!permission!to!take/use!photographs!of!my!child.!
No,!church!leaders!do'not'have!my!(our)!permission!to!take/use!photographs!of!my!child.!
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Children!Ministry!sends!out!a!weekly!eXnewsletter!to!keep!families!informed!of!upcoming!special!
events!and!our!Kid’s!Church!schedule.!!EXmail!addresses!are!never!solicited!to!third!parties.!
(Please'check'one'of'the'boxes'below)'
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Yes,!I!(we)'would'like!to!receive!the!weekly!family!newsletter!via!eXmail.!
No,!I!(we)'would'not'like!to!receive!the!weekly!family!newsletter!via!eXmail.!
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EXmail!addresses:!____________________________________________________________________________________________!
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Parent/Guardian!Name(s):!_________________________________________________________________________________!
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Parent/Guardian!Signature(s):!_____________________________________________________________________________!