PRESCHOOL UPDATE AND KINDERGARTEN REGISTRATION FORM
Child's First Name: Last Name:
Child's Gender: MaleFemale Child's Date of Birth:
Mother's Cell Phone :
Father's Cell Phone :
Parent's Email Address:
Parent(s)/Care Provider's Names:
Child attends church with:
Relationship to child:
I attend worship services at: 5:006:309:3011:00
I attend a Community Group at: 5:006:309:3011:00Do Not Attend a Community Group
Name of Community Group:
Please list any allergies or medical concerns that we need to know:
Please list any custody or safety information that we need to know:
If there is important information about your child that will need to be communicated to the volunteers in his or her classroom, please complete our CLASSROOM CARE PLAN and return to your child's area pastor. Lori Christy - Birth to 2's, Wendy Allan - 3's and 4's, Christina Zeeb - Kindergarten.
I grant permission for Salem Alliance Church to take pictures of my child to be used (without names) in newsletters, brochures, on our website, or within our church building.
I do not want pictures of my child to be used in newsletters, brochures, on our website, or within our church building.
We are interested in volunteering in my child's classroom:
On a regular basis On occasion
We are interested in volunteering in another area of children's ministries.
My area(s) of interest are:
Salem Alliance Church | 555 Gaines St. NE, Salem, OR 97301 | 503.581.2129