Complete this form to register your children to attend Eastside Children's Ministry.

This form can accommodate up to four children.

Eastside Children's Ministry Registration

Parent/Guardian Address*

,  

( )   -

( )   -

optional - for use during Church activities if different from number above

if different from above

current or upcoming school year

First Child Food Allergies

check all that apply

list any that apply or special considerations

current or upcoming school year

Second Child Food Allergies

check all that apply

current or upcoming school year

Third Child Food Allergies

check all that apply

current or upcoming school year

Fourth Child Food Allergies

check all that apply

Media Release Permission*

Registration Verification*