CLF Kids Ministry Registration Form

Christian Life Fellowship Family Information

Mom Name

Mom Cell Number

Mom Email

Dad Name

Dad Cell Number

Dad Email

Address

You have Permission to Email & Text Me

Emergency Contact Name & Number

Grandparents or Authorized Guardians Name & Number

Please list any older youth group age siblings who have permission to pick up:

Please list anyone who can NOT pick up your child (if there are parental custody arrangements we need to be aware of please provide proper paperwork):

Please List all Child(rens) Full Name, Gender, Age, Birthday, and Grade they are currently in.

Additional Information: Please List any Allergies or diet restrictions for your children.

Special Needs: Please list your child's diagnosis, triggers, calm down techniques, and any helpful information for us to best support your child.

Ministry Questions: Check if 'Yes' and leave blank if 'No'

I am interested in helping/learning more about Children's Ministry at CLF. Please add my email to the CLF mailing list. Please add me to the Adventure Zone Facebook Page I give permission for photos of my child to be taken and used without identification. I do NOT give permission for photos of my child to be taken.

CLF Bathroom Policy: For the safety of our volunteers and our children, only parents assist children in the bathroom. If your child is under the age of 6, in diapers or pull ups, occasionally has accidents, or needs assistance regardless of age in the bathroom we are asking that you remain on the premises during any of our Children's programs. This ensures that your child's bathroom needs are meet in a timely manner. *Please submit a (YES) in the box below confirming your agreement to these terms.

I understand and acknowledge the possibility of injury during events at CLF. I fully accept this risk and hold harmless from any legal liability, Christian Life Fellowship church and persons involved in this ministry. In the case of an emergency that requires medical treatment for my child/children, I understand every effort will be made to contact me. If I cannot be reached I give my permission to the CLF staff and volunteers to secure the services of medical professionals to provide the care necessary for my child's well being. I assume all responsibility of costs connected to treatment of my child. *Please submit a (YES) in the box below confirming your agreement to these terms.

This address will receive a confirmation email

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CLF Kids Ministry Registration Form

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