The Supernatural Kids Ministry School Registration Form

Child's Name

First Name

Last Name

Date of Birth

Age

Gender

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Details of Parent(s)/guardian 1

First Name

Last Name

Relationship

Phone

Email

Details of Parent(s)/guardian 2

First Name

Last Name

Relationship

Phone

Email

Emergency Contact Details

First Name

Last Name

Contact Number

Relationship to Child

Share with us a little more about your child

Does your child have any allergies and/or dietary restrictions that you would like to share with us? (If yes, please elaborate)

*Please be informed that we do provide snacks for your child.

Please choose one

Yes, I grant permission to photograph/video my child. Pictures may be published and/or used for publicity purposes (i.e.: brochures,church website, social media, etc.)

No, I do not grant permission to photograph/video my child.