Kids Program and Event Registration

Children's Registrations

CLICK HERE TO SEE UPCOMING EVENTS

PLEASE NOTE: The form below is not registration for the Early Childhood Center. For information for the Early Childhood Center please click here.

Event Permission Form

Overnight Medical Consent Form

Children's Program Registration 2010-2011
Please complete and submit this online form if you wish your child to be enrolled in any of our children's programs.

Child/Youth Name:
	Male Female
Birthdate:	Month: Day: Year:
Age
Grade (as of 8/09)
School
Email:
Parent's Name(s):
Phone:
Cell Phone:
Address:
City:
State:
Zip Code:
Is your child/youth baptized?	Yes No
If so, where:
Please choose all areas you wish to sign up for:	Sunday School Wednesday Activities Family Activities Choir Saturday Kids Tutoring Childcare Summer Camp
Are you willing to teach Sunday School or substitute occasionally?	Yes No Grade Level preferred:
Are parents members of Church of the Palms?	Yes No
Special health concerns/allergies:
Any adaptations made for your child/youth in school? (please list)
I give permission for my child to be photographed for use in church publicity.