Nursery, Children, & Youth Registration

Please fill out one form for each child to register them for nursery, youth, and Sunday school for the 2026-2027 school year. When filling out additional forms for multiple children, you can mark the last three questions with "Same" if the answers are the same as for the first child.

Sunday School will resume August 23rd.

Parent's Name

This address will receive a confirmation email

Phone

Address

Child's Name

Child's Date of Birth (including year)

Child's Grade and age (as of 9/1/2026)

Please select one option.

Nursery 2- and 3-year-olds Preschool Kindergarten-age 5 by 9/1/2026) 1st grade-age 6 by 9/1/2026 2nd Grade-age 7 by 9/1/2026 3rd Grade-age 8 by 9/1/2026 4th Grade-age 9 by 9/1/2026 5th Grade-age 10 by 9/1/2026 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade

Known Conditions/Allergies/Learning Problems (If none, mark "NA")

Please share anything else about your child that you feel their teacher or nursery worker needs to know.

Medical Emergency Waiver:
In case of a medical emergency, I hereby give my permission to the physician selected by the Children's Ministry Coordinator to secure proper treatment and/or hospitalization for my child(ren).

In the event of an emergency, we will make every attempt to reach the parent/legal guardian listed, or the emergency contact given on the registration form.

Please select

Please select one option.

Yes No

Emergency Contacts: Please provide the names and phone numbers, as well as the relation to the child for two adults to serve as emergency contacts.

Doctor's name and number

Please list all people allowed to pick up your child(ren) in your absence.

Nursery, Children, & Youth Registration

Description

Please Fix the Following