RKIDS REGISTRATION

PLEASE COMPLETE ONE FORM FOR EACH CHILD

Thank you for taking a moment to pre-enroll your child for our Refuge Church Children's programming. Taking a few moments now will save you the extra minutes when you check-in your child(ren) the next time you visit us.

Your parent phone numbers will be used to check-in so make sure you keep us updated of any changes.

I hereby give permission for Refuge Church to use my child’s photograph (without their name) in Refuge Church publications, on the website and in news releases regarding any Refuge Church sponsored activities.

CHILD INFORMATION

Name

Gender

Male Female

Birthdate

Grade

List Any Allergies:

Special Notes or Health Needs?

PARENT INFORMATION

Parent/Guardian 1

Parent/Guardian 1 Phone

Parent/Guardian 1 Email

Address

Parent/Guardian 2

Parent/Guardian 2 Phone

Parent/Guardian 2 Email

BABY INFO

This section only needs completed for registered infants.

I understand that as a parent/guardian I am expected to be on church property when my baby is being cared for in the church nursery, unless under special circumstances.

PACIFIER NO YES

BOTTLE NO YES - prepared YES - warmed YES - cold

Bottle Time (if applicable)

Nap Time (if applicable)

Favorite Activities?

Description

Please fill out this form and click submit.

RKIDS REGISTRATION

Description

Please Fix the Following