Sunday Morning Child Enrollment Form

Sunday Morning Child Enrollment

Welcome! We're delighted you're planning to visit us. Please arrive early and follow the signs to the Shepherd's Kids Family Center entrance where our greeters will be ready to assist you. To save time at check-in, use this form to pre-register your child for one of our Sunday morning nurseries or classes. We look forward to meeting you!
You must provide the name and contact information for at least one parent or legal guardian. When providing your mobile phone number, please provide a number we can use to reach you in case of emergency during your visit.
Parent Name*

First Name(s)Last Name
Parent Name

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number*

Area CodePhone Number
E-mail*
Which Sunday can we expect you?*

MonthDayYear
Date
When will your child(ren) be in our classroom?

9:30 AM Service11:00 Am Service
Child Information

For each child, (Birth through grade 5) provide the full name, date of birth, age, grade (if in school) and any allergies or special instructions.
Child 1 Name

First NameLast Name
Age
Date of Birth

MonthDayYear
Date
Gender?

MaleFemale
Class Grouping
Which option represents this child?
Special Instructions:
Child 2 Name

First NameLast Name
Age
Date of Birth

MonthDayYear
Date
Gender?

MaleFemale
Class Grouping
Which option represents this child?
Special Instructions:
Child 3 Name

First NameLast Name
Age
Date of Birth

MonthDayYear
Date
Gender?

MaleFemale
Class Grouping
Which option represents this child?
Special Instructions:
Child 4 Name

First NameLast Name
Age
Date of Birth

MonthDayYear
Date
Gender?

MaleFemale
Class Grouping
Which option represents this child?
Special Instructions:
Should be Empty:

Sunday Morning Child Enrollment

Child Information