Sunday School & Godly Play Registration 2024-25
Sundays during the 10:30 service | At this time Sunday School is offered for children PreK-8th grade.
Child #1 Name
*
Child #1 Birthdate
*
Child #1 Current Grade
*
Please select one option.
Nursery: Age 0-3
Age 4-5/Pre-school
Kindergarten
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Select Option
Nursery: Age 0-3
Age 4-5/Pre-school
Kindergarten
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Child #1: Please list any allergy, dietary or medical concerns
Child #1: Please indicate if your child has any special academic needs.
Child #2 Name (First and Last)
Child # 2 Birthdate
Child #2 Current Grade
Please select one option.
Nursery: Age 0-3
Age 4/5 Preschool
Kindergarten
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Select Option
Nursery: Age 0-3
Age 4/5 Preschool
Kindergarten
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Child #2: Please list any allergy, dietary or medical concerns
Child #2: Please indicate if your child has any special academic needs.
Child #3 Name (First and Last
Child #3 Birthdate
Child #3 Current Grade
Please select one option.
Nursery: Age 0-3
Age 4/5 Preschool
Kindergarten
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Select Option
Nursery: Age 0-3
Age 4/5 Preschool
Kindergarten
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Child #3: Please list any allergy, dietary or medical concerns
Child #3: Please indicate if your child has any special academic needs.
Child #4 Name
Child #4 Birthdate
Child #4 Current Grade
Please select one option.
Nursery: Age 0-3
Age 4/5 Preschool
Kindergarten
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Select Option
Nursery: Age 0-3
Age 4/5 Preschool
Kindergarten
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Child #4: Please list any allergy, dietary or medical concerns
Child #4: Please indicate if your child has any special academic needs.
Parent/Guardian Name
*
Parent/Guardian email
*
This address will receive a confirmation email
Parent/Guardian Work/Cell Phone
*
2nd Parent/Guardian Name
*
2nd Parent/Guardian email
*
2nd Parent/Guardian Work/Cell Phon
*
Address (physical address of child/family)
*
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I give consent for any photos of my child/children taken during Sunday School to be used in media and publications such as the Arkive and Ark & Dove website.
*
Please select all that apply.
YES
NO
Emergency Contact Name
*
Emergency Contact Phone
*
I hereby understand that my child will be supervised and that if a health problem or injury arises, I will be notified. If I cannot be reached by phone, medical treatment and/or hospital care will be administered by competent medical personnel including medication, injections, anesthesia, surgery, or other proper treatments and necessary information may be released for insurance purposes. I verify that all health issues are so noted on this form.
*
Please select all that apply.
YES
NO
LIABILITY RELEASE: In consideration of Ark and Dove allowing the above child(ren) to participate in Sunday School activities, I, the undersigned, do hereby release, forever discharge, and agree to hold harmless Ark and Dove, its directors, employees, volunteers, and agents (collectively herein the “Church”) from any and all liability, claims or demands for accidental personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the above child(ren) while involved in Sunday School. Furthermore, on behalf of my minor child(ren), I hereby assume all risk of accidental personal injury, sickness, death, damage, and expense as a result of participation in activities involved therein.
*
Please select all that apply.
YES
I acknowledge that the information I provided on this form is accurate, to the best of my knowledge:
*
Please select all that apply.
YES
Submit
Description
Sundays during the 10:30 service
At this time Sunday School is offered for children PreK-8th grade.
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