Kids/ Youth Guest Check

Address *

Preferred Phone (this will be used today to contact via text if needed) *

Area Code Phone Number
Preferred Email (by providing an email, you are giving Christ the Savior Lutheran Church permission to send emails regarding Kid's Ministry and church events. No information will be given or sold to third parties) *
example@example.com
Child 1

First Name Last Name Name Goes By
Date of birth: *

Month Day Year
Child's age as of 8/31/19: *
Gender: *

Male Female
Grade (starting Fall of 2019): *

Babies to Preschool Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th 9th - 12th
Non-seasonal allergies: *

Yes No
Please explain:
Special Considerations:
Child 2

First Name Last Name Name Goes By
Date of birth: *

Month Day Year
Child's age as of 8/31/19: *
Gender: *

Male Female
Grade (starting Fall of 2019): *

Babies to Preschool Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th 9th - 12th
Non-seasonal allergies: *

Yes No
Please explain:
Special Considerations:
Child 3

First Name Last Name Name Goes By
Date of birth: *

Month Day Year
Child's age as of 8/31/19: *
Gender: *

Male Female
Grade (starting Fall of 2019): *

Babies to Preschool Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th 9th - 12th
Non-seasonal allergies: *

Yes No
Please explain:
Special Considerations:
Enter the message as it's shown *
Should be Empty:

Kids & Youth Guest Check - In