Crossway Family Church - Next Gen Registration

Child Information

First Name

Last Name

Birthdate

Gender

Grade

Parent/Guardian Information

Parents/Guardians Names

Who Does The Child Live With

Mom

Dad

Both

Other

Address Child Resides

Apartment, suite, etc.

City

State

Zip/Postal Code

Phone Number-Best Form Of Contact

Email

Check In and Out

Name of Whose Registering Child and Relation:

Names with Permission Child can be Released to:

Medical

Allergies

Special Needs/Important Information:

Medications

Permissions

I give permission for the above child to be photographed by CrossWay Family Church for the purpose of newsletters, bullietens, & other CrossWay Kids media.

Yes

No

During our children's service, we may offer a light snack (such as crackers, candy, fruit snacks, or juice). Please let us know if you give permission for your child to have a snack. *ALLERGIES & DIETARY RESTRICTIONS WILL BE FOLLOWED

Yes

No

I give permission to receive texts if needed to be reached during service.

Yes

No

Signature

Next Gen & Children's Ministry
Registration Form

Child Information

Parent/Guardian Information

Check In and Out

Medical

Permissions

About

Service Times

Contact Info

Follow Us

Next Gen & Children's Ministry Registration Form

Child Information

Parent/Guardian Information

Check In and Out

Medical

Permissions

About

Service Times

Contact Info

Follow Us

Next Gen & Children's Ministry
Registration Form