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?
1
2
3
4
5
6
1st Child's Name
*
First Name
Last Name
1st Child's Age
*
0
1
2
3
4
5
6
7
8
9
10
11
12
1st Child's Grade
*
Nursery (0-3)
Pre-K (3-5)
Kindergarten (5-6)
1st (6-7)
2nd (7-8)
3rd (8-9)
4th (9-10)
5th (10-11)
6th (11-12)
1st Child's BD
*
-
Month
-
Day
Year
Date
2nd Child's Name
First Name
Last Name
2nd Child's Age
0
1
2
3
4
5
6
7
8
9
10
11
12
2nd Child's Grade
Nursery (0-3)
Pre-K (3-5)
Kindergarten (5-6)
1st (6-7)
2nd (7-8)
3rd (8-9)
4th (9-10)
5th (10-11)
6th (11-12)
2nd Child's BD
-
Month
-
Day
Year
Date
3rd Child's Name
First Name
Last Name
3rd Child's Age
0
1
2
3
4
5
6
7
8
9
10
11
12
3rd Child's Grade
Nursery (0-3)
Pre-K (3-5)
Kindergarten (5-6)
1st (6-7)
2nd (7-8)
3rd (8-9)
4th (9-10)
5th (10-11)
6th (11-12)
3rd Child's BD
-
Month
-
Day
Year
Date
4th Child's Name
First Name
Last Name
4th Child's Age
0
1
2
3
4
5
6
7
8
9
10
11
12
4th Child's Grade
Nursery (0-3)
Pre-K (3-5)
Kindergarten (5-6)
1st (6-7)
2nd (7-8)
3rd (8-9)
4th (9-10)
5th (10-11)
6th (11-12)
4th Child's BD
-
Month
-
Day
Year
Date
Additional Children's Names, Ages, Grades, BDs
Parents Names
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone 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)
*
Nursery
Preschool
Children's Church Teacher
Children's Church Helper
Awana
I am already volunteering and would like to continue where I am (see below)
My current role:
Service(s) parents prefer to volunteer at
*
Saturday 6PM
Sunday 9AM
Sunday 11AM
Any
Frequency (if for weekend services rather than Awana)
*
Once a month
Every other week
Every week
Additional Notes or Comments
Submit
Should be Empty: