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Nursery Registration
Welcome to Downtown Church! We are so glad you're here. To ensure we provide the best care possible for your child, please answer the following questions.
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* Indicates required question
Welcome to the Downtown Church Nursery! Please select one:
*
I am a visitor
I am a regular attender
Parent/Guardian First and Last Name
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Parent/Guardian Email Address
*
Your answer
Parent/Guardian #2 First and Last Name
Your answer
Parent/Guardian #2 Phone Number
Your answer
Parent/Guardian #2 Email Address
Your answer
Child #1 First and Last Name
*
Your answer
Child #1 birthdate
*
MM
/
DD
/
YYYY
Please list any food allergies child #1 has, if any:
Your answer
Child #2 First and Last Name
Your answer
Child #2 birthdate
MM
/
DD
/
YYYY
Please list any food allergies child #2 has, if any:
Your answer
Child #3 First and Last Name
Your answer
Child #3 birthdate
MM
/
DD
/
YYYY
Please list any food allergies child #3 has, if any:
Your answer
Child #4 First and Last Name
Your answer
Child #4 birthdate
MM
/
DD
/
YYYY
Please list any food allergies child #4 has, if any:
Your answer
Child #5 First and Last Name
Your answer
Child #5 birthdate
MM
/
DD
/
YYYY
Please list any food allergies child #5 has, if any:
Your answer
Please list any special instructions or additional information we should be aware of:
Your answer
We would love to hear from you! Please list any suggestions or questions you have regarding the Nursery:
Your answer
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