Kid Connection & Nursery Registration How many Children do you want to register? 1 Child 2 Children 3 Children 4 Children #1 | Child Information Child's Name Nickname Date of Birth What grade will your child be in the 2018-2019 school year? Allergies/Medical Conditions #2 | Child Information Child's Name Nickname Date of Birth What grade will your child be in the 2018-2019 school year? Allergies/Medical Conditions #3 | Child Information Child's Name Nickname Date of Birth What grade will your child be in the 2018-2019 school year? Allergies/Medical Conditions #4 | Child Information Child's Name Nickname Date of Birth What grade will your child be in the 2018-2019 school year? Allergies/Medical Conditions Parent/Guardian Information Parent/Guardian Name(s): Primary Phone: Secondary Phone: Email Address: Address: City: Zip Code: Which service(s) do you primarily attend? Check all that apply. Saturday evenings at 5:30 p.m. (Programs infant-5th grade available) Sunday mornings at 8:30 a.m. (Nursery available only) Sunday mornings at 9:45 a.m. (Programs infant-5th grade available) Who may pick up your child from Kid Connection? Would you like information regarding Praise Kids? Yes No Photo/Video Release May we have permission to photograph your child? Yes No May we have permission to video your child? Yes No May we have permission to to use you child's photograph/video in church print and online publications? Yes No We appreciate your help! ** We request that parents of children in Kid Connection or Nursery serve as classroom helpers once per quarter. There is a rotating schedule and you will be added to a serving Team after we have your background check information** Which service times are you available to serve in the Faith Nursery/Kid Connection? Check all that apply. Saturday evenings at 5:30 p.m. Sunday mornings at 8:30 a.m. (Nursery only) Sunday mornings at 9:45 a.m. I am available on an as needed basis Interested in Joining Our KID CONNECTION TEACHING TEAM? Yes No Questions? Please contact Marion Handley, [email protected]