Trinity EC Church
"Child Ministry Enrollment Form"

With six or fewer children in a family, only one form per family is needed.
All information is important; please complete each applicable box.

children

Today's Date: (Use mm/dd/yyyy format)  

During the 2011-12 school year I want to enroll my children in these programs:

CHILD'S PERSONAL INFORMATION

PROGRAM OPTIONS:

ALLERGIES OR SPECIAL NEEDS?

Names of Children Gender Birthdate
(mm/dd/yyyy)		 School Grade
(2011-2012)		   (SUN AM) Sunday School  =  Age 2 - Grade 6  
  (SUN AM) Kids' Worship    =    Grades 2 - 6     
  (WED PM) GAK    =                Age 3 - Grade3   		 Allergies or
Special Needs?

If any child listed has allergies or special needs,
please also complete & submit a
"Special Needs Form" for him/her.


Link to "Special Needs Form"
will appear on response page
after submission of this form.
Sunday Nursery Sunday School Kids' Worship GAK
Sunday Nursery Sunday School Kids' Worship GAK
Sunday Nursery Sunday School Kids' Worship GAK
Sunday Nursery Sunday School Kids' Worship GAK
Sunday Nursery Sunday School Kids' Worship GAK
Sunday Nursery Sunday School Kids' Worship GAK

children

Please provide complete contact information for this family:

Full name of Parents/Guardians:
Address:
City:
Zip:
Home Phone:
Email Address:
*Cell Phone:
       *Please have it with you ON VIBRATE. We will use it if your child needs you.

By default, we will use the information provided above for preferred Emergency Contact.
Need us to use a different contact in case of emergency?
            If so, provide alternate name, relationship to children & phone #:  

Review information once more for completeness & accuracy before hitting the submit button.