KidsConnect Registration 2021

Parent/Guardian Names

This address will receive a confirmation email

Cell Phone

Address

Are you a member of Alleluia?

Yes No

Children's Information

Please fill out ALL information below for each child. Thank you!

Child 1 Name

Date of Birth

Gender

Male Female

Baptized?

Yes No

Current Grade Level

Special Needs or Allergies?

Child 2 Name

Date of Birth

Gender Male Femaie

Baptized? Yes No

Current Grade Level

Special needs or Allergies?

Child 3 Name

Date of Birth

Gender Male Female

Baptized? Yes No

Current Grade Level

Special needs or Allergies?

Child 4 Name

Date of Birth

Gender Male Female

Baptized? Yes No

Current Grade Level

Special needs or Allegies?

I understand that EACH of my children are responsible for bringing their own SUPPLY KIT of glue, scissors, crayons/markers, pencil, and a clean towel EACH time they attend KidsConnect or a KidsConnect event.

Yes

I understand that photographs from KidsConnect and KidsConnect events may be used for publicity purposes (including photos WITHOUT children's names on the Alleluia website and Facebook). Please contact Michele Nelson if you have any special concerns regarding this at mnelson@alleluia.church.

Yes

Alleluia! Lutheran Church is taking necessary precautions to prepare for in-person worship by cleaning, sanitizing, requiring masks, and practicing good social distancing. We cannot completely eliminate the risk of exposure, however. By attending in-person worship, you are assuming risk that may result in exposure to Covid-19. Please protect yourself and others by staying home if you are experiencing symptoms of Covid-19 including fever, coughing or shortness of breath, you have been exposed to someone with Covid-19, or you have a higher risk for severe illness. I/we will wear a mask at all times.

I agree

Volunteer Information

Please take the time to answer some questions about volunteering in the Children's Ministry. Thank you for your support!

In which setting would you feel most comfortable volunteering? (Please check all the apply)

Inside Outside Not at this time.

Would you be willing to lead a small group of children during a lesson?

Would you be interesting in helping with our 4th and 5th graders?

Would you be interested in assembling SUPPLY KITS at church or at home for various activities? This is a very HIGH need right now.

KidsConnect Registration 2021

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