DGT KIDS REGISTRATION 2022-2023

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Welcome to DGT Kids Ministry at Duluth Gospel Tabernacle. This is a ministry to kids birth thru 6th grade.
This form allows us to have pertinent information on hand to contact you, send you updates and keep your child safe while attending the programs at DGT through the year of September 2022-August 2023
(There may be separate forms to fill out for specific events such as VBS or trips.)
Programs include:
Sunday School-Sept-May-every Sunday (9:00 AM
Children's Church-All year on Sunday at 10:30 AM
Wednesday Night Programs-Kids of all ages meet from 6:30-8 PM Sept-May
Bus ministry-Upon your request, children can be transported to church on Wednesday night for limited routes. Sept-May
If there are any questions please contact the children's pastor at 218-722-1928

Email *

Child's First Name *

Child's Last Name *

Gender *

Girl

Boy

Birthdate *

YYYY

Grade of child in the fall *

birth to 24 months

2 years old

3 years old by Sept 1, 2018

Pre-school 4 or 5

Kindergarten

First

Second

Third

Fourth

Fifth

Sixth

Youth group and riding the bus

Other:

School my child will be attending (homeschool or public) *

Parent or Guardian's Name *

Street Address *

City *

State *

Other:

Zip Code *

Parent's Phone/Cell Number *

My child will be attending the following Wednesday Night Program *

Birth to 24 months Nursery

Skippers age 2-3 (If available)

Rainbows age 3 -4 (must be 3 by Sept 1)

Daisy Girl Kindergarten

Scooter Boy Kindergarten

Prim Girl First and Second

Voyager Boy First and Second

Third Grade Girls Stars

Third and Fourth Grade Boys Pathfinders

Fourth Grade Stars Girls

Fifth Grade Stars Girls

Fifth and Sixth Grade Trailblazers Boys

Sixth Grade Stars Girls

not attending

Other:

My child will need transportation to church on Wednesday nights. *

I understand that my child will be riding the bus, that my child will abide by all rules and that the church is not liable.

Yes

My child will be attending Sunday School *

Yes

My child will/or may be attending Children's church. *

Yes

maybe

The following persons are not allowed to pick up my child.

I understand that in the event medical treatment is required, every effort will be made to contact me. If I cannot be reached, I give permission to the adults in charge of DGT KIDS to secure the services of a licensed physician to provide the care necessary, including anesthesia, for my child's well-being. I, the parent or legal guardian of the child listed above, releases DGT KIDS and all participating churches and any adults in charge, from any and all claims resulting from injury or damage of any kind that may be sustained by my child while participating at DGT KIDS. *

Please include your full legal name

Allergies (please check all that apply *

peanut

nut

pitted fruits

bees

latex

dairy

fruits

cats

dogs

none

Other:

Required

Please list any medical or special needs that we are to be aware of. You can elaborate about allergies here if you need to. If your child has none, put NA. *

M child ma be phtographed. (Yes or no) *

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