Names(s) and age(s) of children: __________________________________________
________________________________________________________________________
________________________________________________________________________
Name of parent(s)/guardian(s):____________________________________________________
________________________________________________________________________
Address: _______________________________________________________________
Phone: (H)_________________ (C) _________________________
E-Mail: ___________________________________________________
Any allergies, health, or medication issues we need to be aware of:
________________________________________________________________________
Primary MD: _______________________ Phone number: ________________
Your child's interests, skills, and/or talents: _________________________________
________________________________________________________________________
Has your child attended another church or do you have any special religious/spiritual practices?
________________________________________________________________________
Anything else you'd like us to know about your child:
________________________________________________________________________
Are there any special topics or themes you would like to have included in our RE program:
________________________________________________________________________
Can we use your child's picture:
_____ on our bulletin board at church
_____ in printed church material
_____ on our church web page
_____ on our social media pages
** Parents: Check if you are interested in the following:
_____ helping to plan Youth Sunday activities
_____ assisting the RE leaders with the pre-planned activities
_____ attending family or intergenerational church events on week nights or weekends
_____ donating materials/snacks for Youth Sundays
_____ other: ___________________________________________________________
Please feel free to add any comments or suggestions below.