Children's Ministry Registration Form

We look forward to serving you and your family through this vibrant ministry.

This form is required for any child attending Sunday School, the nursery, or mid-week programs and special events. It covers from today's date forward, so you only need to complete it ONE time. If you have any changes in information at a later date, please email KamiF@MPCLife.org. Thank you.

P.S. This form doesn't constitute enrollment in a mid-week program or special event. It's just the necessary information we need on file. Separate RSVP/enrollment will be required (for example, TNT program).

How did you hear about MPC?

Friend Neighbor Social Media Special Event MomCo Other

Parent 1s Information

Parent 1s Name

Parent 1s Phone

Parent 1s Email

This address will receive a confirmation email

Parent 1s Address

Parent 2s Information

Parent 2s Name

Parent 2s Phone

Parent 2s Email

This address will receive a confirmation email

Parent 2s Address (if different)

Child 1s Information

Child 1s Name

Gender

Male Female

Birthdate

Allergies/Medical

Name of School

Grade

Nursery Pre-K Kindergarten 1st 2nd 3rd 4th 5th

Child 2s Information

Child 2s Name

Gender Male Female

Birthdate

Allergies/Medical

Name of School

Grade Nursery Pre-K Kindergarten 1st 2nd 3rd 4th 5th

Child 3s Information

Child 3s Name

Gender Male Female

Birthdate

Allergies/Medical

Name of School

Grade Nursery Pre-K Kindergarten 1st 2nd 3rd 4th 5th

Child 4s Information

Child 4s Name

Gender Male Female

Birthdate

Allergies/Medical

Name of School

Grade Nursery Pre-K Kindergarten 1st 2nd 3rd 4th 5th

This permission form covers today's date forward. Future changes, email Children's Director: I/we give permission for my above-named child to participate in the Sunday morning, mid-week and other Children’s Ministry Programs of Moorpark Presbyterian Church. I/we hereby release Moorpark Presbyterian Church, its staff and sponsors, from responsibility and liability for any injury or illness that my child may sustain during any activity. I/we further understand that we and/or our insurance carrier assume full responsibility for all payments and costs of said emergency treatments. I/we also understand that my child may be photographed during these programs while participating in the various activities. I authorize permission for photos/videos of my child to appear on the website of Moorpark Presbyterian Church at MPCLife.org as well as in highlighting children’s programs on the church campus. In either case, my child’s name will not be used. Do you understand and agree?

I understand & agree I understand & agree, but do not publish my child's photos/videos.

Children's Ministry Registration Form

Description

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