Registration Form (GraceKids) 2024-2025

Name of Parent/Guardian

Phone

Address

Emergency Contact

Phone

Child's Name and Age

Birthdate:

Allergies, Conditions, Important Info.

Child's Name and Age

Birthdate:

Allergies, Conditions, Important Info.

Child's Name and Age

Birthdate:

Allergies, Conditions, Important Info.

Insurance and Group/Policy #

Permissions (Please check all that apply)

Participation in regular programming of Grace Covenant Church Emergency Medical Treatment by qualified and licensed medical personnel, Group Transportation to/from events off-site during scheduled programming Photos of my child(ren) may be posted on the church website or Facebook page

Signature of Parent/Guardian

Description

Please fill out this form and click submit.

Registration Form (GraceKids) 2024-2025

Description

Please Fix the Following