Nursery Sign Up FormWe are excited to have your little’s with us in Sunday School! Please fill out the form below! Parent Information Parent / Guardian Name * First Name Last Name Phone * (###) ### #### Is this the best way to reach you during service? * Yes No If not, what is the best way to reach you? Email * Parent / Guardian Name First Name Last Name Phone (###) ### #### Email Home Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Who is authorized to pick up your child? * Please provide names and relationships Child Information Child's Name * First Name Last Name Date of Birth * MM DD YYYY Allergies or Dietary Restrictions * Medication or Special needs we should be aware of? * Diaper cream, Eczema Cream etc? Behavior and Comfort How does your child handle separation from parents? * Tips for easing separation: Any specific fears or anxieties we should be aware of? * Permissions Do we have permission to change diapers or assist with toileting? * If no, how would you like to be contacted when the need arises? * Do we have permission to provide snacks? * Do we have permission to take photos for church use (e.g., newsletters or private church group)? * Thank you!
