WEDNESDAY NIGHT REGISTRATION

 (List each child and adult separately. Additional forms in gathering area.)

Name__________________________

Address________________________

Phone _________________________

Areas in which I will participate:

____ Cherub Choir (K – 2) Begins 1/8

____Carol Choir (3 - 5) Begins 1/8

____Dinner (1/15-3/26)

____FW Friends (1/15-3/26)

I am willing to volunteer in the following way:

? Teach a 15-minute children’s session.

? Assist with a crew of children

? Help with dinner prep/clean-up.

I REQUIRE CHILDCARE ____

(Complete portion below if registering children)

PERMISSION FORM

I give permission for my child to participate in the programs checked above.

EMERGENCY CONTACT

Name _________________________

MEDICAL INFORMATION

Allergies:_________________________

Medication taken:_________________________

MEDIA RELEASE

Faith Church may use photographs of my child (without identifying him/her by name unless specific permission is given) in print publicity and on the church website.

Yes _____   No_____

PARENT SIGNATURE_________________________