Greetings, parents!  If your son or daughter does not have his or her own email address and phone, we need you as the parent to fill out this form for them.

Please enter date of birth in Day-Month-Year format.

Does your child have any allergies or medical issues? Do they carry an Epipen? (If no medical issues, please write "none.")

I give permission for my child(ren) to be photographed or videotaped.  I understand that the image may be displayed in church publications, church buildings, church websites, or social media accounts associated with the church.  I understand that as a precaution, my child's name will not be published or linked with the photographs.

It helps us get to know your child quickly if you can provide us with a picture, even a selfie.  Thanks!

Comments?  (What is it important for us to know about your son or daughter?)