JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Children's Ministry 22-23 Registration Form
PLEASE NOTE: ONE CHILD PER REGISTRATION FORM
Joy exists to help people (no matter how small) follow Jesus. We are honored that you have trusted us with your kiddos and we want that trust to continue.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Child's First Name:
*
Your answer
Child's Last Name
*
Your answer
Parent or Guardian First and Last Name:
*
Your answer
Parent or Guardian's Email:
*
Your answer
Address:
*
Your answer
City, State and Zip Code:
*
Your answer
Phone Number:
*
Your answer
Child's Birth Date:
*
MM
/
DD
/
YYYY
Child's Grade in School (if applicable)
*
Preschool (3 years old)
Pre-K (4 years old)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
N/A (Nursery 0- 3years old)
Medical Conditions/Allergies/Special Needs:
*
Your answer
My child will participate in the following (check all that apply):
*
9:00 In- person Nursery (ages 0-3).
10:30 in person Nursery (ages 0-3)
10:30 In-person Kids' Adventure Klub (Preschool - 5th grade)
I would like information about Family Ministry Events (various activities, days and times)
Required
For those participating in Nursery (check all that apply):
Nursery Staff may change diaper
Nursery Staff may feed bottle if provided
Nursery Staff may assist my child if they need to use the bathroom
My child is potty trained and can use the bathroom independently
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Joy Lutheran Church.
Report Abuse
Forms