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Resurrection Anglican Church
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Church of the Resurrection Classes begin at 10 a.m.
PLEASE PRINT FORM, COMPLETE, AND BRING WITH YOU TO THE CHURCH. Thank you. 1. Please provide the following family information (parent or guardian): Mother’s Last Name______________________________ First Name__________________ Street Address______________________________________________________________ Address (cont.)______________________________________________________________ City______________________ State___________________ ZIP_______________________ Home Phone__________________________ Work Phone___________________________ Cell Phone____________________________ Pager or other__________________________ Fax Number___________________ E-mail_________________________________________ Father’s Last Name__________________________________ First Name________________ Street Address_______________________________________________________________ Address (cont.)_______________________________________________________________ City_______________________________ State_________________ ZIP_________________ Home Phone_________________________ Work Phone_____________________________ Cell Phone___________________________ Pager or other___________________________ Fax Number____________________________ E-mail________________________________
2. Emergency Contact Names and Numbers. Name _________________________Relationship to Child________________ Phone________________ Name _________________________Relationship to Child_________________ Phone_______________ Name _________________________Relationship to Child_________________ Phone_______________ Comments or other emergency information we should know: _____________________________________ _____________________________________________________________________________________ 3. People you PERMIT to pick up your children (in addition to you). We assume you'll be nearby in church while your children are in Sunday School, but sometimes parents or guardians get called away by an emergency, and want a relative or friend to pick up their children. We will allow your children to leave with someone other than you ONLY if they are on this list, and ONLY with proper identification, and ONLY if we cannot find you. This is for your child's safety. If same as Emergency Contact Names, just put "SAME" on Name line below. Name________________________________________ Phone___________________________ Name________________________________________ Phone___________________________ Name________________________________________ Phone___________________________ Anyone we should PROHIBIT
from contacting your children? We will call you (and the police if we can't
reach you) if any attempt is made to contact or pick up your children by people
that are PROHIBITED here: 4. Child's information (complete for each child). Child #1 Information (complete for each child): Last Name__________________________ First Name____________________________ Initial ____ Date of Birth____________ Age___________ Entering what grade this year? ________________ Sex M F Height ________ Weight ________ Hair color _________ Eye Color __________ Special Concerns / Food Allergies / Etc.____________________________________________________ _____________________________________________________________________________________
Child #2 Information:
Last Name__________________________ First Name____________________________ Initial ____ Date of Birth____________ Age___________ Entering what grade this year? ________________ Sex M F Height ________ Weight ________ Hair color _________ Eye Color ___________ Special Concerns / Food Allergies / Etc.____________________________________________________ _____________________________________________________________________________________
Child #3 Information: Last Name__________________________ First Name____________________________ Initial ____ Date of Birth____________ Age___________ Entering what grade this year? ________________ Sex M F Height ________ Weight ________ Hair color _________ Eye Color __________ Special Concerns / Food Allergies / Etc.___________________________________________________ _____________________________________________________________________________________
Child #4 Information: Last Name__________________________ First Name____________________________ Initial ____ Date of Birth____________ Age___________ Entering what grade this year? ________________ Sex M F Height ________ Weight ________ Hair color _________ Eye Color __________ Special Concerns / Food Allergies / Etc.____________________________________________________ _____________________________________________________________________________________
Child #5 Information: Last Name__________________________ First Name____________________________ Initial ____ Date of Birth____________ Age___________ Entering what grade this year? ________________ Sex M F Height ________ Weight ________ Hair color _________ Eye Color __________ Special Concerns / Food Allergies / Etc.____________________________________________________ _____________________________________________________________________________________
4. Helping out: we would not have a quality Children's Ministry program without the gift of time and preparation by parents and others in this church. In which roles would you be willing to contribute to this vital ministry? Check to indicate your willingness. We'll contact you and discuss details, your availability, schedules, and so on. All positions require background checks and training, which we will supply. q Serve as Teacher q Serve as Substitute Teacher q Serve as helper or with errands q Help clean or organize classrooms q Help with Administrative Tasks q Help with Music / Drama / Craft / Games q Do you sing and/or play and instrument? Which? ______________________________ q Other, describe __________________________________________________________ Best way to contact you? ______________________________________________________ 5. We have received and read the Resurrection Parent Handbook Outlining Sunday School Policies/Procedures and General Information for Parents and we plan to support and comply with them. Parent/Guardian________________________________________________________ Parent/Guardian________________________________________________________ Today’s Date ___________________________
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This Web site is (and always has been) owned, paid for and operated as a courtesy to the people of Resurrection, by the webmaster, and may be withdrawn or redirected at any time at his sole discretion.
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Love
God, neighbor and enemy. 
Always
Accessible