RELATIONSHIP TO CHILD(REN) *
Household members
Please add all of your children here, being sure to include any medical notes that apply. NOTE: Please select 'Pre-K' if your child is in JK.
+ Add adult + Add child Additional Information
Please tell us any other information we should know about your child(ren), if applicable (e.g. custody issues, behavioural concerns, important instructions, etc.).
SNACK PERMISSIONS *
We provide a snack and water for children in our Toddler and Kindergarten Rooms and occasionally in our Grade 1-5 Rooms. Our teams ensure little ones have baby safe snack options. Please indicate permission for your child(ren) to have snacks.
EMERGENCY CONTACT FULL NAME *
In the event of an emergency where we cannot reach you, please tell us about another person we can contact. For example, a second parent, a grandparent, or a family friend.
EMERGENCY CONTACT RELATIONSHIP TO CHILD *
PERMISSION *
I, named above, agree to allow the child listed on this form to participate in Sunday morning Kids' Ministry programs with New Life Assembly Church. I affirm that I have the legal right to register the child and to sign associated waiver forms for this program.
Medical Consent *
I/We, named above, undertake and agree to indemnify and hold blameless the Ministry Staff, New Life Assembly, its Pastors and Board of Deacons from and against any loss, damage, or injury suffered by the participant as a result of being part of the activities of New Life Assembly, as well as any medical treatment authorized by the supervising individuals representing the church. This consent and authorization is effective only when participating in Sunday morning Kids' Ministry with New Life Assembly.
Media Release *
Pictures and videos will be taken from time to time during kids ministry programs. Do you give permission for us to publish these photos in promotional materials and our online media platforms (Website, YouTube, Facebook, Instagram)?
Parent/Guardian Signature: *
Please type your FULL NAME as your digital signature
Submit
