Today's Date Child's First Name Child's Last Name Address City State Zip Child's Date of Birth Child's grade in 2008-09 Sex Male Female   Parent / Guardian Information Parent/Guardian Name Home Phone Cell Phone Email Driver's Licence Number Parent/Guardian Name Home Phone Cell Phone Email Driver's License Number   Address/Phone Number ONLY IF different from child's: Address City State Zip Phone   Time(s) Your Child Will Attend Sunday 9:00 am Sunday 10:30 am   List any medical concerns your child has:   The Children's Ministry is entirely dependent on volunteers. All parents are expected to serve in some capacity. Pleae mark your area of interest and the Children's Ministry will contact you.   Nursery Toddlers 2 Year Olds 3 Year Olds Pre-Kindergarten (4-5 Years) Kindergarten - 3rd Grade Sunday School (4th - 6th Grade) Special Events   Medical Release Yes No Do not enter anything in this field: