Sunday Kids' Ministry Registration • Fellowship Church

Use this form to pre-register your child for Kids’ Church and Nursery!

Name of Child*
First Last
Date of Birth*
MM slash DD slash YYYY
Grade (Current School Year)*
Parent/Guardian Name*
First Last
Parent/Guardian Name
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Please list the names of any adults authorized to pick up your child from Kids' Ministrty events
If any adult is specifically NOT authorized to pick up your child, please list that here
This information will only be shared with Kids’ Ministry staff
Does your child have any allergies?
- Select All
- Peanuts
- Nuts (other than peanut)
- Animals
- Wheat
- Dairy
- Soy
- Material (please list below)
- Other (please list below)
Other allergies
Medical Conditions/Restrictions?

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