2019-20 BAM! [Bible and Me!] Registration
Please fill in the required information below.

Children aged three (as of Sept. 1, 2019) through grade 5 are welcome to register for Bible and Me! (BAM!). BAM! begins at Christ the King on Sept. 8 at 9:45 a.m. BAM! meets most Sundays from Sept. 8, 2018 through May 10, 2020. Questions may be directed to the Director of Children and Family Ministry Deb Wolterstorff at deb@lifeatctk.org or 651-633-4674.
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Email *
Family Information
Parent/Guardian 1 Full Name *
Primary Phone *
Alternate Phone *
Work, Home, Cell, etc.
Parent/Guardian 2 Full Name
Primary Phone
For Parent/Guardian 2
Alternate Phone
Work, Home, Cell for Parent/Guardian 2
Home Address *
Street, City, Zip
Alternate Home Address
Street, City, Zip
Primary Email *
Would you like to opt-in to receive updates via email? Check all that apply. *
Christ the King sends out a weekly e-newsletter and occasional Children and Family updates.
Required
Alternate Email
Emergency Contact Full Name *
Emergency Contact Phone *
Emergency Contact Relationship to Child(ren) *
i.e. Grandparent, neighbor, aunt, uncle, etc.
Please check all that apply to you: *
Required
Child 1
First Name of Child 1 *
Last Name of Child 1 *
Age of Child 1 *
as of Sept. 1, 2019
Grade for Child 1 *
Birthdate for Child 1 *
MM
/
DD
/
YYYY
Is Child 1 Baptized? *
Required
Allergies and Pertinent Health Information for Child 1 *
Please include any and all necessary information regarding your child's health including but not limited to allergies, medications, special needs, etc.
Child 2
If additional children, please include the following information. Skip to Medical and Marketing Release if you have no further children to register.
First Name Child 2
Last Name Child 2
Age of Child 2
as of Sept. 1, 2019
Grade for Child 2
Birthdate for Child 2
MM
/
DD
/
YYYY
Is Child 2 Baptized?
Allergies and Pertinent Health Information for Child 2
Please include any and all necessary information regarding your child's health including but not limited to allergies, medications, special needs, etc.
Child 3
If additional children, please include the following information. Skip to Medical and Marketing Release if you have no further children to register.
First Name Child 3
Last Name Child 3
Age of Child 3
as of Sept. 1, 2019
Grade for Child 3
Birthdate for Child 3
MM
/
DD
/
YYYY
Is Child 3 Baptized?
Allergies and Pertinent Health Information for Child 3
Please include any and all necessary information regarding your child's health including but not limited to allergies, medications, special needs, etc.
Child 4
If additional children, please include the following information. Skip to Medical and Marketing Release if you have no further children to register.
First Name Child 4
Last Name Child 4
Age of Child 4
as of Sept. 1, 2019
Grade for Child 4
Birthdate for Child 4
MM
/
DD
/
YYYY
Is Child 4 Baptized?
Allergies and Pertinent Health Information for Child 4
Please include any and all necessary information regarding your child's health including but not limited to allergies, medications, special needs, etc.
Medical and Marketing Release
Please indicate yes or no to the following statements.
I understand that in case of emergency, every effort will be made to contact parents, or guardian, or the emergency contact listed above. If all are unreachable, I give my permission to the physician selected by Christ the King staff/leaders to provide any necessary medical treatment. I hereby release CtK employees and volunteers from any and all liability arising out of, or in any way connected with my child’s participation at CtK. *
I give permission for my child(ren), while attending Christ the King events, to be photographed or video taped/recorded. My child’s image and voice may be used at a later date for newsletters or church-related marketing, including our website and social media accounts. If I have questions, I will contact the CtK staff. *
I affirm that I am the legal parent/guardian of the child(ren) included in this registration form. I confirm that all of the aforementioned information is true to the best of my knowledge. *
To affirm this statement, please type your full name.
Date form completed *
Today's date
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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