Covenant Children & Youth Programming Registration Form 2024-2025

Family Information

Family Last Name

First Parent

Address

First Parent's Email

This address will receive a confirmation email

First Parent's Cell Phone

Second Parent's First Name

Second Parent's Last Name

Second Parent's Email

Second Parent's Cell Phone

Children Information

First Child's Name

Child's Pronouns

Birthday

Food Allergies

Special Notes

What does Child 1 plan on attending?

Sunday School (10 - 11 AM) Kaleidoscope Kids (9 - 10 AM) Nursery (open 9 AM - 12 PM) Youth Connections (5 - 6:30 PM)

Second Child's Name

Child's Pronouns

Birthday

Food Allergies

Special Notes

What does Child 2 plan on attending? Sunday School (10 - 11 AM) Kaleidoscope Kids (9 - 10 AM) Nursery (open 9 AM - 12 PM) Youth Connections (5 - 6:30 PM)

Third Child's Name

Child's Pronouns

Birthday

Food Allergies

Special Notes

What does Child 3 plan on attending? Sunday School (10 - 11 AM) Kaleidoscope Kids (9 - 10 AM) Nursery (open 9 AM - 12 PM) Youth Connections (5 - 6:30 PM)

Fourth Child's Name

Child's Pronouns

Birthday

Food Allergies

Special Notes

What does Child 4 plan on attending? Sunday School (10 - 11 AM) Kaleidoscope Kids (9 - 10 AM) Nursery (open 9 AM - 12 PM) Youth Connections (5 - 6:30 PM)

High School Youth Opportunities

If you have a High School student who is interested in assisting with Kaleidoscope, Sunday School, or nursery, please indicate so below.

You may choose more than one if desired. Kaleidoscope Sunday School Nursery Need more information

Name of Child

Additional Information

Individuals authorized to pick up newborns through 5th-grade children. These individuals must sign-out the child(ren). Please include yourself in this list.
Note: for nursery only those 15 and older may pick up nursery kids.

Name #1

Relationship to Child

Name #2

Relationship to Child

Name #3

Relationship to Child

Name #4

Relationship to Child

Does your family have a court appointed custody agreement information for the child(ren) in Sunday School?

Yes No

If yes, please provide additional information.

Permissions

I give permission for staff and volunteers to take photographs of my child(ren) during church events, and to use them in the church building for publicity, classroom decorations, and on bulletin boards.

Yes No

I give permission for photographs of my child to be used for church publicity in publications and online. I understand that children are never identified by name on the church website. Students with Facebook accounts may tag themselves in photos and are responsible for their own privacy settings through Facebook.

Yes No

Additional Information to share about your child(ren)/family

Parent Signature (Please type your name as your digital signature)

Date

Description

Welcome to Children's Education at Covenant Presbyterian Church! Please use this form to register newborns through 12th-grade youth.

Our Nursery is open 9AM-12PM for children newborn through 2 years old.

Kaleidoscope Kids is offered at 9:00 worship only for children 3 years old through 1st grade.

Sunday School is offered from 10-11AM for children 3 years old through 8th grade.

Covenant Children & Youth Programming Registration Form 2024-2025

Description

Please Fix the Following