Family Information Please include each household if needed Parent/Guardian #1 * First Name Last Name Parent/Guardian #2 For an additional household First Name Last Name Email * Parent #1 Phone * Parent #1 (###) ### #### Email Parent #2 Membership Status * Please choose one Peace Member Peace Attender Brand New to Peace Address #1 * Parent #1 Address #2 Parent #2 Phone Parent #2 (###) ### #### Emergency Contact * Parents would be contacted first - if a parent is unreachable, please list an additional adult for an emergency contact Relationship to Child Phone * Emergency Contact (###) ### #### PLEASE LIST ALL CHILDREN IN THE FAMILY FROM INFANTS THROUGH 5TH GRADE CHILD #1 First and Last Name * Child #1 Male/Female * Child #1 Male Female Date of Birth * Child #1 MM DD YYYY 2023/2024 School Grade * Child #1 3 & Under (Nursery) 3K - Preschool (Born 9/1/2019 - 8/31/2020) 4K - Preschool (Born 9/1/201 - 8/31/2019) Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade Has this child been baptized? Child #1 Yes No Allergies Child #1 / Please list all allergies this child may have Registering for * Child #1 Sunday School 9:00 AM Discovery Club | Wed 5:45 PM Nursery CHILD #2 First and Last Name Child #2 First Name Last Name Male/Female Child #2 Male Female Date of Birth Child #2 MM DD YYYY 2023/2024 School Grade Child #2 Childcare/Nursery 3K (Born 9/1/2019-8/31/2020) 4K (Born 9/1/2018-8/30/2019) Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade Has this child been baptized? Child #2 Yes No Allergies Child #2 / Please list all allergies this child may have Registering for Child #2 Sunday School 9:00 am Discovery Club | Wednesday 5:45pm Nursery CHILD #3 First and Last Name Child #3 First Name Last Name Male/Female Male Female Date of Birth Child #3 MM DD YYYY 2023/2024 School Grade Child #3 Nursery/Childcare 3K (Children born between 9/1/2019 - 8/31/2020) 4K (Children born between 9/1/2018 - 8/31/2019) Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade Has the child been baptized? Child #3 Yes No Allergies Child #3 Registering for Child #3 Sunday School | 9:00 AM Discovery Club | Wed 5:45 PM Nursery Parent Involvement As a parent/guardian, I am willing to get involved in volunteering in Children's Ministry * YES! Sign me up! Yes, but only part-time. Yes, as a substitute if needed. Maybe... No thank you! Thank you! 2023/2024 Peace Kids Registration Form *Please note, one form is required for each household (unless you have more than three kids)
