Children's Ministry Registration (2025-2026)

Please complete information for the 2025-2026 School Year. Please complete 1 form for each child age birth - 5th grade. ON THE FIRST LINE WHERE IT SAYS FIRST & LAST NAME, PLEASE PUT YOUR CHILDS FIRST AND LAST NAME. FOR EMAIL, PLEASE PUT THE PRIMARY CONTACT'S EMAIL.

Your name *

Email address *

Phone number *

Phone number

Birthday *

Grade *

Address

Parents/Guardians Name(s)

If someone other than parent/guardian usually brings child to Sunday school (or nursery), please tell us who & relationship to child.

Name of person and relationship to child (e.g. Jill Smith, Grandma)

Emergency Contact Name *

If we cannot reach your during Church/Sunday school/Children's Ministry Activity, who should we contact?

Phone Number of Emergency Contact *

Medical note

(Allergies or other relevant health info). Please note this may print on your child's name tag if name tags are used at check-in.)

Is Your Child(ren) Baptized?

Medical Release - *

I, by checking the box above, do hereby authorize emergency medical, dental, health or hospital services be rendered to my child/children upon request of an Alive In Christ Lutheran Church staff member or designated volunteer. The purpose of this authorization is to permit my child/children to receive emergency medical attention when needed while involved in the activities connected with Alive In Christ’s children’s programs when I or my emergency contact is unavailable to give such consent. This authorization shall be effective from today until my child ages out of the program.

Photo Release (by answering Yes you give your permission for AIC to use your child's picture) *

I further understand that Alive In Christ Lutheran Church may occasionally use photographs of children, youth and adults participating in and observing events in the life of our church, such as camps, meetings, retreats, trips or classes for publicity purposes. Consent is implied for a variety of media, including posting on our church website. For the safety of your child/children, at no time will names be used in conjunction with their photograph.

Please enter today's date. *

Name of Parent/Guardian Completing Form *

By typing your name here you agree that the information above is accurate to the best of your knowledge.

Photo - Optional

Please upload a recent picture of your child (will help us connect name & face).

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