Child's First and Last Name

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* 1. Child's First and Last Name

Goes By Name (if different)

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* 2. Goes By Name (if different)

Date of Birth

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* 3. Date of Birth

Date
Home Address

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* 4. Home Address

School Grade

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* 5. School Grade

List any allergies or other medical issues. 

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* 6. List any allergies or other medical issues. 

What are your child's strengths and gifts they can share with the class?

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* 7. What are your child's strengths and gifts they can share with the class?

What are challenges that your child might bring to the class?

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* 8. What are challenges that your child might bring to the class?

Parent/Guardian 1

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* 9. Parent/Guardian 1

Parent/Guardian 2

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* 10. Parent/Guardian 2

Parent support is needed to make our program successful, please check at least one of the following ways in which you are able to volunteer with our program.

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* 11. Parent support is needed to make our program successful, please check at least one of the following ways in which you are able to volunteer with our program.

Do you give permission for your child's photo to be used in Saint Stephen's publications and on our website/social media?  Names of the children will not be printed. 

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* 12. Do you give permission for your child's photo to be used in Saint Stephen's publications and on our website/social media?  Names of the children will not be printed. 

Do you give permission for trained church staff to perform general First Aid on your child if needed?

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* 13. Do you give permission for trained church staff to perform general First Aid on your child if needed?

Do you give permission for church staff to call 9-1-1 for your child if an emergency situation occurs and and to make emergency medical decisions for your child if you cannot be reached?

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* 14. Do you give permission for church staff to call 9-1-1 for your child if an emergency situation occurs and and to make emergency medical decisions for your child if you cannot be reached?

Children's Ministry Behavior Expectations
*All children, adults and volunteers should feel welcomed and safe in our church buildings, classrooms, the playground and at all other church events.
*All children, adults and volunteers will be respected. Bullying will not be tolerated.
*The church playground, buildings, classrooms, materials and supplies will be treated with care.
*Parents/Guardians will be notified if their child exhibits disruptive or unacceptable behavior.
By initialing below I acknowledge that I have read and understand the Children's Ministry Behavior Expectations and we will discuss them as a family.  Please initial in the box.

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* 15. Children's Ministry Behavior Expectations
*All children, adults and volunteers should feel welcomed and safe in our church buildings, classrooms, the playground and at all other church events.
*All children, adults and volunteers will be respected. Bullying will not be tolerated.
*The church playground, buildings, classrooms, materials and supplies will be treated with care.
*Parents/Guardians will be notified if their child exhibits disruptive or unacceptable behavior.
By initialing below I acknowledge that I have read and understand the Children's Ministry Behavior Expectations and we will discuss them as a family.  Please initial in the box.

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