Kids/ Youth Guest Check

Kids & Youth Guest Check - In
Thank you for joining us today! We are glad that you're here.
Name of person dropping off child:*

First NameLast Name
Relationship to child:*
Address*

Street Address

Street Address Line 2

CityState

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

Area CodePhone 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 NameLast NameName Goes By
Date of birth:*

MonthDayYear
Child's age as of 8/31/19: *
Gender:*

MaleFemale
Grade (starting Fall of 2019):*

Babies to PreschoolKindergarten1st2nd3rd4th5th6th7th8th9th - 12th
Non-seasonal allergies:*

YesNo
Please explain:
Special Considerations:
Child 2

First NameLast NameName Goes By
Date of birth:*

MonthDayYear
Child's age as of 8/31/19: *
Gender:*

MaleFemale
Grade (starting Fall of 2019):*

Babies to PreschoolKindergarten1st2nd3rd4th5th6th7th8th9th - 12th
Non-seasonal allergies:*

YesNo
Please explain:
Special Considerations:
Child 3

First NameLast NameName Goes By
Date of birth:*

MonthDayYear
Child's age as of 8/31/19: *
Gender:*

MaleFemale
Grade (starting Fall of 2019):*

Babies to PreschoolKindergarten1st2nd3rd4th5th6th7th8th9th - 12th
Non-seasonal allergies:*

YesNo
Please explain:
Special Considerations:
Enter the message as it's shown*
Should be Empty:

Kids & Youth Guest Check - In