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You are here: Home / KidZone/Nursery 2023-2024 Registration

KidZone/Nursery 2023-2024 Registration

Please complete this form to register your child for the 2023-2024 Ministry Year in KidZone and Nursery. Each family requires registration for each ministry year to ensure we have accurate and current information for each child.

Parent / Guardian Name *

First

Last

Relationship to Child

Father
Mother
Guardian
Other

If other, please list:

Parent / Guardian Phone *

Parent / Guardian Email *

Email

Confirm Email

Address

Address Line 1

City

State / Province / Region

Postal Code

Is SPL considered the child(ren)'s home church?

Yes
No, just visiting!

If visiting, would you like your child(ren)’s names to be placed on our visitor attendance list? (Note: If no, you will be required to fill out this form again the next time you visit).

Yes
No, happy to fill out a form next time.

Approved drop off/pick up of child(ren): Please list the name(s) and relationship of anyone else that is approved for drop off/pick up of your child at KidZone/Nursery.

How many children are you registering for the 2023-2024 Ministry year?

1
2
3
4

Child (1) Name: *

First

Last

Child (1): Date of Birth *

Child (1): What age range/grade is the child entering in September 2023? *

Child (1): Does the child have a serious allergy or medical condition? *

Yes
No

Please explain:

Child (2) Name:

First

Last

Child (2): Date of Birth

Child (2): What age range/grade is the child entering in September 2023?

Child (2): Does the child have a serious allergy or medical condition?

Yes
No

Please explain:

Child (3) Name:

First

Last

Child (3): Date of Birth

Child (3): What age range/grade is the child entering in September 2023?

Child (3): Does the child have a serious allergy or medical condition?

Yes
No

Please explain:

Child (4): Name

First

Last

Child (4): Date of Birth

Child (4): What age rangew/grade is the child entering in September 2023?

Child (4): Does the child have a serious allergy or medical condition?

Yes
No

Please explain:

Is there anything else you'd like us to hear?

Waiver & Consent

Photo Permission *

Yes, my child/children’s photo may be included in social media posts and/or on the church website.
No, my child’s/children’s photo may not be included in social media posts and/or on the church website.

Email

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