2026/27 Kids Ministries Registration Form

School Year 2026-27 | Please complete the following information for School Year 2026/27 to participate in West Main’s Kid’s Ministries.

Date

Childs Name

Child's Birthday

Child's Age

Child's Grade

Please select one option.

Nursery (babies - 2 years old) Preschool (2 1/2 - 5 years old) Kindergarten 1st grade 2nd grade 3rd grade 4th grade 5th grade

Any Known ALLERGIES?

Please select one option.

YES NO

If YES, list allergies here.

Any SPECIAL NEEDS or MEDICAL CONDITIONS we should know about to help your child have the best experience?

Please select one option.

YES NO

If YES, please explain here.

Parents/Guardian Names

1st Parent Cell # (We may use cell # to reach you during service if needed)

2nd Parent Cell #(We may use cell # to reach you during service if needed)

Parent Email

This address will receive a confirmation email

We store a small photo of your child for check-in purposes only, in order to make check-in safe, quick and accurate. Check the box ONLY IF YOU DO NOT want us to store a photo of your child.

Please select all that apply.

I do NOT want my childs photo stored in the check-in system.

3rd graders and up ONLY! You may choose to allow your child to be released from Kids Connect or Bible Busters without a parent/guardian.

Please select all that apply.

YES, my child may be released without parent/guardian picking up. NO, I will pick up my child.

Description

School Year 2026-27

Please complete the following information for School Year 2026/27 to participate in West Main’s Kid’s Ministries.

2026/27 Kids Ministries Registration Form

Description

Please Fix the Following