Parent/Guardian Form

Welcome, and thank you for taking a few minutes to complete this form. This brief form helps our church understand important details about your child so we can care for them well during youth activities. Your responses support us in creating safe, smooth, and meaningful experiences and help our team stay prepared for future events throughout the year.

Parent / Gaurdian Full Name:

Please provide your full legal name.

Are You the Parent or Legal Guardian?

Primary Phone number:

The best number to reach you.

Email Address:

For event updates and confirmations.

Child's Name & Birthdays:

Please list each child's full name and date of birth.

Favorite Snacks:

List each child's preferred snacks.

Favorite Toys:

Hobbies & Interests

What activities does each child enjoy?

Allergies or Medical Concerns:

Please list allergies or important notes for each child.

Learning, Behavior, or Social Notes: (optional)

Emergency Contact: (Name & Number)

Name & phone number of someone we can reach if needed.

Authorized Pick-Up List:

List all individuals allowed to pick up your children.

Medical Conditions or Special Instructions:

Please list Medical Conditions or important notes for each child.

Medication Needed During Events? (if any)

Preferred Method of Contact: (Call, Text, Email)

Best Time of Day to Reach You? (Morning, Afternoon, or Evening)

Date and time

Month

Day

Year

Time

HoursMinutes

Signature

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Parent/Guardian Form

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