Faith Made Real
Please provide all the information below. We'll add you to an email list so you know of any event updates.
Name of Child(ren) *
Name of Parent(s)/Guardian(s) *
Email *
Address *
Phone number *
Name of Child(ren) and Ages *
Emergency Contact Name and Phone Number *
Name of Other Persons Authorized to Pick Up Your Child *
Allergies or Medical Conditions We Should Know About
Does your child require a carseat? *
I give permission to take my child's photo for classroom projects and/or for use in church communications (announcements, website)
*
I am able and willing to drive others to events (mileage reiumbursement available) *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy