God's Garden Sunday Babysitting Registration
Child's Registration Information:
Child's Last Name*
Child's First Name *
Child's Date of Birth (example: 01/25/2006)*
Children's Physical Restrictions/Medications/Allergies/Special Needs
Parent Information:
Main Email (An automatic confirmation of registration will be sent - if you do not receive a confirmation email, something went wrong with registration, please re-register if you do not receive an email): *
Please enter all other email addresses where announcements should be sent. They need to be on one line and separated with a comma. Example: ewilson@immluth.org, churchoffice@immluth.org)
Mother's Last Name*
Mother's First Name*
Mother's Phone*
Father's Last Name*
Father's First Name*
Father's Phone*
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*