EBC 2019-20 Registration for Nursery and Children's Ministry Co-Op

EBC 2019-20 Registration for Nursery and Children's Ministry Co-Op

If you have attended EBC for 6 months or more, we ask you to participate in our Children's Ministry Co-Op and serve at least once a month if you would like your child(ren) to be part of our Children's Programs
How many children are you registering from your family?
1st Child's Name

First NameLast Name
1st Child's Age
1st Child's Grade
1st Child's BD

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
2nd Child's Name

First NameLast Name
2nd Child's Age
2nd Child's Grade
2nd Child's BD

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
3rd Child's Name

First NameLast Name
3rd Child's Age
3rd Child's Grade
3rd Child's BD

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
4th Child's Name

First NameLast Name
4th Child's Age
4th Child's Grade
4th Child's BD

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Additional Children's Names, Ages, Grades, BDs
Parents Names

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com
Allergies
Where parents would like to volunteer (once a month is expected when you are part of our co-op)
My current role:
Service(s) parents prefer to volunteer at
Frequency (if for weekend services rather than Awana)
Additional Notes or Comments
Should be Empty: