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Nursery 23-24 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.
*Materials fee per year: $25.00 per student.*
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* Indicates required question
Photo Release/Waiver: As a participant in this program, I understand that the Children's Ministry Team photographs and/or videotapes activities to be used in publicizing Ministry and projects within the congregation. In registring for this program I agree to the above.
Please check this box to agree to the photo release/waiver
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Child's First Name:
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Your answer
Child's Last Name
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Your answer
Parent or Guardian First and Last Name:
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Your answer
Parent or Guardian's Email:
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Your answer
Address:
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Your answer
City, State and Zip Code:
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Your answer
Phone Number:
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Your answer
Child's Birth Date:
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MM
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DD
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YYYY
Medical Conditions/Allergies/Special Needs:
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Your answer
My child will participate in the following (check all that apply):
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9:00 In- person Nursery (ages 0-3).
10:30 in person Nursery (ages 0-3)
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
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