kids' small group registration – Restoration Anglican Church

Nursery/kids’ Small Group Registration Form

Thanks so much for registering your child(ren) for kids’ small groups @ Restoration! We desire for each kid who comes through our doors to feel known and loved; secure in the truth that God knows them, is crazy about them, and goes with them everywhere. We’re excited to see what God will do as we partner with you in the spiritual formation of your family! Please reach out to Louise Brooks, our director of kids’ small groups, if you have any questions. (louise@restorationarlington.org) We can’t wait to see you on a Sunday!

Parent Name 1*
First Last
Parent Name 2
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Child 1 – Information
Name of Child*
First Last
Child's Preferred Name*
Child's Date of Birth*
MM slash DD slash YYYY
This child is in . . .*
Name of School
Example: Nottingham Elementary
Does your child have allergies or disabilities?*
What allergies and/or disabilities does your child have?
May we feed your child Cheerios?*
May we feed your child puffs?*
What are your child's favorite activities?*
Does your child have any particular fears?*
How can we pray specifically for your child this year?*
What would you like your child to gain from Kids' Small Groups?
Do you have additional children you would like to register?
Child 2 – Information
Name of Child*
First Last
Child's Preferred Name*
Child's Date of Birth*
MM slash DD slash YYYY
This child is in . . .*
Name of School
Example: Nottingham Elementary
Does your child have allergies or disabilities?*
What allergies and/or disabilities does your child have?
May we feed your child Cheerios?*
May we feed your child puffs?*
What are your child's favorite activities?*
Does your child have any particular fears?*
How can we pray specifically for your child this year?*
What would you like your child to gain from Kids' Small Groups?
Do you have additional children you would like to register?
Child 3 – Information
Name of Child*
First Last
Child's Preferred Name*
Child's Date of Birth*
MM slash DD slash YYYY
This child is in . . .*
Name of School
Example: Nottingham Elementary
Does your child have allergies or disabilities?*
What allergies and/or disabilities does your child have?
May we feed your child Cheerios?*
May we feed your child puffs?*
What are your child's favorite activities?*
Does your child have any particular fears?*
How can we pray specifically for your child this year?*
What would you like your child to gain from Kids' Small Groups?
Do you have additional children you would like to register?
Child 4 – Information
Name of Child*
First Last
Child's Preferred Name*
Child's Date of Birth*
MM slash DD slash YYYY
This child is in . . .*
Name of School
Example: Nottingham Elementary
Does your child have allergies or disabilities?*
What allergies and/or disabilities does your child have?
May we feed your child Cheerios?*
May we feed your child puffs?*
What are your child's favorite activities?*
Does your child have any particular fears?*
How can we pray specifically for your child this year?*
What would you like your child to gain from Kids' Small Groups?
Do you have additional children you would like to register?
Child 5 – Information
Name of Child*
First Last
Child's Preferred Name*
Child's Date of Birth*
MM slash DD slash YYYY
This child is in . . .*
Name of School
Example: Nottingham Elementary
Does your child have allergies or disabilities?*
What allergies and/or disabilities does your child have?
May we feed your child Cheerios?*
May we feed your child puffs?*
What are your child's favorite activities?*
Does your child have any particular fears?*
How can we pray specifically for your child this year?*
What would you like your child to gain from Kids' Small Groups?
Do you have additional children you would like to register?
Other Information
I give permission for pictures/videos, in which my child appears as a program participant, to be used in Restoration brochures, flyers, social media, and/or other promotional materials published and distributed by Restoration Anglican Church.*
Would you be interested in being a Prayer Partner for our children?
Prayer Partners agree to pray weekly for each child and to be in touch with the kids’ small group leaders to pray for specific needs.
Anything else you want us to know?

Nursery/kids’ Small Group Registration Form

Child 1 – Information

Child 2 – Information

Child 3 – Information

Child 4 – Information

Child 5 – Information

Other Information

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