Family Night Form2

 

Child's Name

Birthday  Grade

Home Address  

City  Zip Code

Phone  Cell Phone 

Email Address

Parents' Names

School

Hobbies & Interests

Allergies

Medical Conditions that we need to be informed of

 

In case we need to contact you because of an emergency, please check the box indicating which Family Night activity you will be involved in*:

Prayer Meeting          Discipleship Class

I am a leader in:  Choir          Mission Friends          GA's     RA's          Grade you lead:

 

*All parents of preschoolers must remain on the premises. Children in grades 1-6 must have a parent or a designated adult on the premises.

 

Throughout the year, our Mission Programs (RA, GA, and Mission Friends) go on Mission Action trips in our community (Nursing Homes, Hospitals, Shut-ins, etc.). They may also occasionally go to get a treat like ice cream. You will be informed of these trips a week in advance by a notice sent home by your child's leader.

 

My child,  has my permission to go on a Mission or Action or Treat Trip with his/her leader.

Parent's signature