Baby Presentation
Parent Dedication
Please work with Jennifer to establish dates and times that would best work
Parent’s Name:___________________________________________
Child’s Name:____________________________________________
Phone Number:___________________________________________
Choice #1
___________________________
Choice #2
____________________________
Choice #3
____________________________
Service Time (choose one):
1st Service (8:15am)
2nd Service (9:30am)
3rd Service (11:00am)
Please return to Jennifer Kottke ASAP
(2's & 3's and 4's & 5's Registration Form)
This for is for REGULAR ATTENDERS at DC3 – please see the VISITOR FORM for visiting children
Child’s Name:_________________________________________________ Date of Birth:_______________
First Last
First Last
Address:______________________________________________________________________________________________
City/Zip:_______________________________________________________________ *Phone: (_____)__________________
Father’s Name: _________________________________________________________________________
First Last
Address:_____________________________________________________________________________________________
City/Zip:_________________________________________________________ Phone: (_____)_________________________
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Age |
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Siblings Information:
Email address (one that is constantly checked):______________________________________________
Is the child brought to church by someone other than a parent? Yes No
If YES, please complete:
Name:_________________________________________ Relationship to child:_________________
Address:______________________________________________________________________________________________
City/Zip:________________________________________________________________Phone: (_____)____________
Does your child have previous church experience? If so, please describe:______________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________
Has your child been baptized?
If yes, at what age?_____ Name of baptizing church:_____________________________________________________
Does your child have any allergies or physical condition of which we should be aware of?______________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________
Is there anything else you can tell us that will help us better minister to your child?_______________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________
Where will YOU generally be while the child named above is in the care of the DC3’s Early Childhood Ministries?
11:00am Worship (Sanctuary) Bible Study Room:_________________ Other:__________________ 9:30am Worship (Sanctuary) Bible Study Room:_________________ Other:__________________
(NURSERY Registration Form)
2009-2010 NURSERY Registration Form
This for is for REGULAR ATTENDERS at DC3 – please see the VISITOR FORM for visiting children
Child’s Name:_____________________________________ Date of Birth:__________________________
First Last
First Last
Address:_______________________________________________________________________________________________
City/Zip:_______________________________________________________________ *Phone: (_____)__________________
Father’s Name: __________________________________________________________________________
First Last
Address:_______________________________________________________________________________________________
City/Zip:________________________________________________________________ Phone: (_____)_______________
_________________
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Name |
Age |
Grade |
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Siblings Information:
Email address (one that is constantly checked):______________________________________________
Is the child brought to church by someone other than a parent? Yes No
If YES, please complete:
Name:_________________________________________ Relationship to child:________________
Address:_______________________________________________________________________________________________
City/Zip:________________________________________________________________Phone: (_____)__________________
Is there any other adults (over 16 years of age) who are approved to pick-up your child?
__________________________________________relationship________________________________
__________________________________________relationship________________________________
Does your child have previous church experience? If so, please describe:_______________________
______________________________________________________________________________________________________________________________________________________________________________
Has your child been baptized?
If yes, at what age?_____ Name of baptizing church:_____________________________________________________
Does your child have any allergies or physical condition of which we should be aware of?______________________________________________________________________________________________________________________________________________________________________________
Is there anything else you can tell us that will help us better minister to your child? In particular, what are the best ways to comfort your child when they are distressed? _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Is your child bottle or breast feed? _____________
Do you want to be paged for feeding times?____________________
Crackers and/or Cheerios are provided in our Nursery. Do you want your child to be offered this snack?_______________
Typical sleeping schedule: Typical eating schedule:
Where will YOU generally be while the child named above is in the care of the DC3’s Early Childhood Ministries?
9:30am Worship (Sanctuary) Bible Study Room:_________________ Other:__________________ 11:00am Worship (Sanctuary) Bible Study Room:_________________ Other:__________________