KIDS GROW Sunday School Registration
Child's Registration Information:
Child's Last Name*
Child's First Name *
Child's Date of Birth (example: 01/25/2006)*
Child's School (so I can make sure they have someone they know in their group.)*
Child's Grade: *
 3 Yrs Old (& is toilette-trained)
 1st Grade
 2nd Grade
 3rd Grade
 4th Grade
 5th Grade
 6th, 7th, or 8th Grade
Children's Physical Restrictions/Medications/Allergies/Special Needs
Parent Information:
Mother's Last Name
Mother's First Name
Mother's Phone (Home & Cell)
Father's Last Name
Father's First Name
Father's Phone (Home & Cell)
Email Addresses (Please enter all email addresses you wish to use to receive announcements, updates, schedules, etc. Please enter them all on one line and separate them with a comma. Example:, *
Emergency Contact Information (Please enter information for a person who is not the mother or the father in case the parents cannot be reached.) *
Emergency Contact Name*
Phone Numbers: *
Relationship to Child*
I authorize Immanuel to use any photographs and video taken of my child for official church use, including the Immanuel website, Facebook, or pamphlets, without compensation.*