Flourish Kids Family Registration

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Welcome to Flourish Kids! We are excited to serve you and your children birth through 5th grade! Please take a moment to register your family. This will help us to assess the needs of our church family and provide you with an effective Children's Ministry program. Please note that all information will be kept confidential and is only used by Flourish Kids. Thank you!

Child's Name

(Along with given first and last name, please include any nicknames the child commonly answers to or prefers.)

Child's Age *

Birthday *

YYYY

Grade *

Allergies/ Important Medical Information

*Please note that Cheerios may be provided in the nursery for children at least 9 months of age, and Goldfish crackers are available in our other classrooms. If this is a concern for your child, please also indicate below.

We recognize that each child is unique and beautifully created by God. Please list any information or special instructions that will help us to effectively care for your child. *

Name of parent/legal guardian

(Please include both parents first and last names)

Who is permitted to pick up the child(ren) from Flourish Kids? *

Mom only

Dad only

Both parents have permission to pick up this child from Flourish Kids.

Required

Are there any additional adults allowed to check in/out your child. Please include first and last names.

*Must be 18 or over

Home Address *

Phone Number *

Parent's Email *

Photos and video may be taken during Sunday School or special events. Please note that any photos will be taken by the administrative staff only and will solely be used for church purposes such as classroom activities, a presentation to the congregation, art hung in the building, displayed on the church website or used on the church's social media page. For safety reasons, any photos used will not include the names of children.
*

I give permission for my child/children to be photographed for the use of Flourish Church.

I give permission for my child/children to be photographed for the use of Flourish Church for educational purposes as well as for presentations for the congregation. (Excludes internet use and social media.)

I give permission for my child/children to be photographed for the use of Flourish Church for educational purposes only. (Classroom activities, crafts, etc.)

I do NOT want my child's/children's photograph used for any purpose.

Required

Do you have any questions for us at Flourish Kids?

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