Registration | Moody Church

AWANA Registration

TMC Kids Registration Form

Parent/Guardian(s) Name(s)
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Primary Phone*
Alternate Phone
Email*
Are both parents living at home?*
If No, who has legal custody of the child?
If the person who regularly brings the child to church is different than above, please list:
Child Name*
First Last
Gender*
- Male
- Female
Child Birthday*
MM slash DD slash YYYY
Age*
Please enter a number from 0 to 11.
Grade Entering Fall 2019:*
Emergency Contact Name*
First Last
Emergency Contact Relationship to Child*
Emergency Contact Phone*
Parent(s) typical location during church time or other ministry:*
Family Doctor
Doctor Phone
My child has medical concerns that the church should be aware of.*
If Yes, please describe*
My child will attend Sunday School (Infants - Grade 5)*
My child will attend Sunday Night Service Childcare (Infants - Grade 2)*
My child will attend Children’s Chorus (Grades 1-5)*
Hidden
My child will attend Awana (Age 2 - Grade 5)*
My child is physically fit and adequately trained to participate in such programs or events, except (please specify all exceptions)*
In what community will you be while your child is participating in our weekly programming?*
Release and Medical Authorization*
Consent and Release I am the parent/legal guardian of the above named child and have the authority to consent to the participation of this child in The Moody Church Children’s Ministry. I consent to the participation of my child in the functions, programs, and activities of that Ministry during the 2019/2020 program year (September through August), including any and all programs and activities customarily associated with a church children’s group. I also consent to my child riding in a vehicle driving by a Moody Church pastor, staff member, volunteer, or hired commercial driver. I agree that The Moody Church, its Board members, employees, agents, and volunteers shall not be liable for damages, losses, diseases, injuries, or death while attending or participating in a program, function, or activity of The Moody Church Children’s Ministries or while traveling to and from any such program, function, or activity. I hereby release and waive any claims which I or my child may have or hereafter acquire against The Moody Church, its Board members, employees, agents, or volunteers for any such damages, losses, diseases, injuries, or death. Publicity Consent I allow my child’s picture to be used by the Children’s & Youth Ministries for various needs such as newsletters and/or The Moody Church website.
- Yes
Would You Like To Register A 2nd Child?*
Child Name*
First Last
Gender*
- Male
- Female
Child Birthday*
MM slash DD slash YYYY
Age*
Grade*
My child has medical concerns that the church should be aware of.*
If Yes, please describe
My child will attend Sunday School (Infants - Grade 5)*
My child will attend Sunday Night Service Childcare (Infants - Grade 2)*
My child will attend Children’s Chorus (Grades 1-5)*
Hidden
My child will attend Awana (Age 2 - Grade 5)*
My child is physically fit and adequately trained to participate in such programs or events, except (please specify all exceptions)*
In what community will you be while your child is participating in our weekly programming?*
Release and Medical Authorization*
Consent and Release I am the parent/legal guardian of the above named child and have the authority to consent to the participation of this child in The Moody Church Children’s Ministry. I consent to the participation of my child in the functions, programs, and activities of that Ministry during the 2019/2020 program year (September through August), including any and all programs and activities customarily associated with a church children’s group. I also consent to my child riding in a vehicle driving by a Moody Church pastor, staff member, volunteer, or hired commercial driver. I agree that The Moody Church, its Board members, employees, agents, and volunteers shall not be liable for damages, losses, diseases, injuries, or death while attending or participating in a program, function, or activity of The Moody Church Children’s Ministries or while traveling to and from any such program, function, or activity. I hereby release and waive any claims which I or my child may have or hereafter acquire against The Moody Church, its Board members, employees, agents, or volunteers for any such damages, losses, diseases, injuries, or death. Publicity Consent I allow my child’s picture to be used by the Children’s & Youth Ministries for various needs such as newsletters and/or The Moody Church website.
- Yes
Would You Like To Register a 3rd Child?*
Child Name*
First Last
Gender*
- Male
- Female
Child Birthday*
MM slash DD slash YYYY
Age*
Grade*
My child has medical concerns that the church should be aware of.*
If Yes, please describe
My child will attend Sunday School (Infants - Grade 5)*
My child will attend Sunday Night Service Childcare (Infants - Grade 2)*
My child will attend Children’s Chorus (Grades 1-5)*
Hidden
My child will attend Awana (Age 2 - Grade 5)*
My child is physically fit and adequately trained to participate in such programs or events, except (please specify all exceptions)*
In what community will you be while your child is participating in our weekly programming?*
Release and Medical Authorization*
Consent and Release I am the parent/legal guardian of the above named child and have the authority to consent to the participation of this child in The Moody Church Children’s Ministry. I consent to the participation of my child in the functions, programs, and activities of that Ministry during the 2019/2020 program year (September through August), including any and all programs and activities customarily associated with a church children’s group. I also consent to my child riding in a vehicle driving by a Moody Church pastor, staff member, volunteer, or hired commercial driver. I agree that The Moody Church, its Board members, employees, agents, and volunteers shall not be liable for damages, losses, diseases, injuries, or death while attending or participating in a program, function, or activity of The Moody Church Children’s Ministries or while traveling to and from any such program, function, or activity. I hereby release and waive any claims which I or my child may have or hereafter acquire against The Moody Church, its Board members, employees, agents, or volunteers for any such damages, losses, diseases, injuries, or death. Publicity Consent I allow my child’s picture to be used by the Children’s & Youth Ministries for various needs such as newsletters and/or The Moody Church website.
- Yes
Would You Like To Register a 4th Child?*
Child Name*
First Last
Gender*
- Male
- Female
Child Birthday*
MM slash DD slash YYYY
Age*
Grade*
My child has medical concerns that the church should be aware of.*
If Yes, please describe
My child will attend Sunday School (Infants - Grade 5)*
My child will attend Sunday Night Service Childcare (Infants - Grade 2)*
My child will attend Children’s Chorus (Grades 1-5)*
Hidden
My child will attend Awana (Age 2 - Grade 5)*
My child is physically fit and adequately trained to participate in such programs or events, except (please specify all exceptions)*
In what community will you be while your child is participating in our weekly programming?*
Release and Medical Authorization*
Consent and Release I am the parent/legal guardian of the above named child and have the authority to consent to the participation of this child in The Moody Church Children’s Ministry. I consent to the participation of my child in the functions, programs, and activities of that Ministry during the 2019/2020 program year (September through August), including any and all programs and activities customarily associated with a church children’s group. I also consent to my child riding in a vehicle driving by a Moody Church pastor, staff member, volunteer, or hired commercial driver. I agree that The Moody Church, its Board members, employees, agents, and volunteers shall not be liable for damages, losses, diseases, injuries, or death while attending or participating in a program, function, or activity of The Moody Church Children’s Ministries or while traveling to and from any such program, function, or activity. I hereby release and waive any claims which I or my child may have or hereafter acquire against The Moody Church, its Board members, employees, agents, or volunteers for any such damages, losses, diseases, injuries, or death. Publicity Consent I allow my child’s picture to be used by the Children’s & Youth Ministries for various needs such as newsletters and/or The Moody Church website.
- Yes
Would You Like To Register a 5th Child?*
Child Name*
First Last
Gender*
- Male
- Female
Child Birthday*
MM slash DD slash YYYY
Age*
Grade*
My child has medical concerns that the church should be aware of.*
If Yes, please describe
My child will attend Sunday School (Infants - Grade 5)*
My child will attend Sunday Night Service Childcare (Infants - Grade 2)*
My child will attend Children’s Chorus (Grades 1-5)*
Hidden
My child will attend Awana (Age 2 - Grade 5)*
My child is physically fit and adequately trained to participate in such programs or events, except (please specify all exceptions)*
In what community will you be while your child is participating in our weekly programming?*
Release and Medical Authorization*
Consent and Release I am the parent/legal guardian of the above named child and have the authority to consent to the participation of this child in The Moody Church Children’s Ministry. I consent to the participation of my child in the functions, programs, and activities of that Ministry during the 2019/2020 program year (September through August), including any and all programs and activities customarily associated with a church children’s group. I also consent to my child riding in a vehicle driving by a Moody Church pastor, staff member, volunteer, or hired commercial driver. I agree that The Moody Church, its Board members, employees, agents, and volunteers shall not be liable for damages, losses, diseases, injuries, or death while attending or participating in a program, function, or activity of The Moody Church Children’s Ministries or while traveling to and from any such program, function, or activity. I hereby release and waive any claims which I or my child may have or hereafter acquire against The Moody Church, its Board members, employees, agents, or volunteers for any such damages, losses, diseases, injuries, or death. Publicity Consent I allow my child’s picture to be used by the Children’s & Youth Ministries for various needs such as newsletters and/or The Moody Church website.
- Yes
Would You Like To Register a 6th Child?*
Child Name*
First Last
Gender*
- Male
- Female
Child Birthday*
MM slash DD slash YYYY
Age*
Grade*
My child has medical concerns that the church should be aware of.*
If Yes, please describe
My child will attend Sunday School (Infants - Grade 5)*
My child will attend Sunday Night Service Childcare (Infants - Grade 2)*
My child will attend Children’s Chorus (Grades 1-5)*
Hidden
My child will attend Awana (Age 2 - Grade 5)*
My child is physically fit and adequately trained to participate in such programs or events, except (please specify all exceptions)*
In what community will you be while your child is participating in our weekly programming?*
Release and Medical Authorization*
Consent and Release I am the parent/legal guardian of the above named child and have the authority to consent to the participation of this child in The Moody Church Children’s Ministry. I consent to the participation of my child in the functions, programs, and activities of that Ministry during the 2019/2020 program year (September through August), including any and all programs and activities customarily associated with a church children’s group. I also consent to my child riding in a vehicle driving by a Moody Church pastor, staff member, volunteer, or hired commercial driver. I agree that The Moody Church, its Board members, employees, agents, and volunteers shall not be liable for damages, losses, diseases, injuries, or death while attending or participating in a program, function, or activity of The Moody Church Children’s Ministries or while traveling to and from any such program, function, or activity. I hereby release and waive any claims which I or my child may have or hereafter acquire against The Moody Church, its Board members, employees, agents, or volunteers for any such damages, losses, diseases, injuries, or death. Publicity Consent I allow my child’s picture to be used by the Children’s & Youth Ministries for various needs such as newsletters and/or The Moody Church website.
- Yes
Would You Like To Register a 7th Child?*
Child Name*
First Last
Gender*
- Male
- Female
Child Birthday*
MM slash DD slash YYYY
Age*
Grade*
My child has medical concerns that the church should be aware of.*
If Yes, please describe
My child will attend Sunday School (Infants - Grade 5)*
My child will attend Sunday Night Service Childcare (Infants - Grade 2)*
My child will attend Children’s Chorus (Grades 1-5)*
Hidden
My child will attend Awana (Age 2 - Grade 5)*
My child is physically fit and adequately trained to participate in such programs or events, except (please specify all exceptions)*
In what community will you be while your child is participating in our weekly programming?*
Release and Medical Authorization*
Consent and Release I am the parent/legal guardian of the above named child and have the authority to consent to the participation of this child in The Moody Church Children’s Ministry. I consent to the participation of my child in the functions, programs, and activities of that Ministry during the 2019/2020 program year (September through August), including any and all programs and activities customarily associated with a church children’s group. I also consent to my child riding in a vehicle driving by a Moody Church pastor, staff member, volunteer, or hired commercial driver. I agree that The Moody Church, its Board members, employees, agents, and volunteers shall not be liable for damages, losses, diseases, injuries, or death while attending or participating in a program, function, or activity of The Moody Church Children’s Ministries or while traveling to and from any such program, function, or activity. I hereby release and waive any claims which I or my child may have or hereafter acquire against The Moody Church, its Board members, employees, agents, or volunteers for any such damages, losses, diseases, injuries, or death. Publicity Consent I allow my child’s picture to be used by the Children’s & Youth Ministries for various needs such as newsletters and/or The Moody Church website.
- Yes