• • Student Name *
    
    First
    
    Last
• • Student's Middle Name *
    
    
• • Student Gender *
    Male
    Female
    
• • Name student wishes to be called (Nickname)
    
    
• • Student will attend Faith Kids on Sundays at: *
    9:15 AM
    10:45 AM
    
• • Grade Fall 2012 *
    Preschool Level 1 (ages 3-4) (Age 3 by September 1, 2012)
    Preschool Level 2 (ages 4-5)
    Kindergarten
    1st Grade
    2nd Grade
    3rd Grade
    4th Grade
    5th Grade
    
• • Home Address *
    
    Street Address
    
    Other Address (optional)
    
    City
    ...AlabamaAlaskaAlbertaArizonaArkansasBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew YorkNewfoundlandNorth CarolinaNorth DakotaNova ScotiaOhioOklahomaOntarioOregonPennsylvaniaPrince Edward IslandQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingYukon Territory
    State/Province
    
    Zip/Postal Code
    
    Region (optional)
    ...United StatesCanadaJapanUnited KingdomAustraliaGermanyFranceSwitzerlandItalyNetherlandsAlbaniaAlgeriaAmerican SamoaAndorraAnguillaAntarticaAntigua & BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBotswanaBouvet IslandBrazilBritish Indian Ocean Terr.Brunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslColombiaComorosCongoCook IslCosta RicaCote D'IvoireCroatiaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEstoniaEthiopiaFaeroe IslandsFalkland Isl. (Malvinas)FijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern Terr.GabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernsey C.I.GuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslHondurasHong KongHungaryIcelandIndiaIndonesiaIrelandIsle of ManIsraelItalyJamaicaJapanJersey C.I.JordanKazakhstanKenyaKiribatiKorea Republic ofKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLiechtensteinLithuaniaLuxemborgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslMartiniqueMauritaniaMauritiusMexicoMicronesiaMoldova Republic ofMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherland AntillesNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslNorthern Mariana IslNorwayOmanPakistanPalauPanamaPanama Canal ZonePapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts & NevisSaint LuciaSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSt. HelenaSt. Pierre and MiquelonSt. Vincent & GrenadinesSurinameSvalbard & Jan Mayen IslSwazilandSwedenSwitzerlandTaiwanTajikistanTanzania United RepublicThailandTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslTuvaluU.A.E.U.S.Minor Outlying IslUgandaUkraineUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican City StateVenezuelaViet NamVirgin Isl (British)Virgin Isl (U.S.)Wallis & Futuna IslandsWestern SaharaYemen Republic ofZaireZambiaZimbabwe
    Country
• • Home Phone Number
    
    
    
    
    
    
• • School
    
    
• • Birthday *
    
    
• • Has this student been Baptised? *
    Yes
    No
    
• • Baptism Date (if known)
    
    
• • Special request for ONE person in my group/leader:
    
    
• • Member of Faith Lutheran Church? *
    Yes
    No
    
• • Parent/Guardian 1 Name *
    
    First
    
    Last
• • Guardian 1 Relationship?
    
    
• • Email for Guardian 1: *
    
    
• • Cell phone number for Guardian 1:
    
    
    
    
    
    
• • Resides with (Guardian 1)?
    Yes
    No
    
• • Parent/Guardian 2
    
    First
    
    Last
• • Guardian 2 Relationship?
    
    
• • Email for Guardian 2:
    
    
• • Cell phone number for Guardian 2:
    
    
    
    
    
    
• • Resides with Guardian 2?
    Yes
    No
    
• • Emergency Contact
    
    First
    
    Last
• • Phone Number for Emergency Contact
    
    
    
    
    
    
• • List ANY special needs we should be aware of (i.e. learning disabilities, illness, ALLERGIES, etc.)
    
    

• • KIDS MINISTRY SUPPORT

    The success of our ministry to kids and families depends on the support and involvement of our parents. Please consider participating in ONE OR MORE areas for this year:
• • Support Name
    
    First
    
    Last
• • Support Email
    
    
• • Support Home Phone Number
    
    
    
    
    
    
• • Support Cell Phone Number
    
    
    
    
    
    
• • Classroom Leader
    Every week
    Every other week
    Any Grade
    Specific Grade
    Substitute Leader
    Drama/Storytelling Team Member (about one Sunday per month)
    
• • Name Specific Grade or time:
    
    
• • Week Day Children's Ministry Support
    Yes, I'd like to help during the middle of the week at the church.
    Take home crafts or office projects
    Sew craft items or costumes
    Media Support: Help at events taking pictures, running video equipment, MediaShout, etc.
    Volunteer during the middle of the week to help prepare for the kids and leaders each Sunday. This would include organizing supplies, stocking class rooms, decorating, office work, etc. Children are welcome to come with parents and you pick the time.
• • First Communion Team Member
    Stole creations
    Bread baking
    Meal organization
    Communion preparation
    You would assist with rotation experiences for first communion participants and families (October 13th, 2012). This is a great opportuinity for those who have already gone through the class, to help share that exerience with others.
• • "ShareFest" help November 3, 2012
    Help oversee kids games and crafts.
    
• • Family Christmas Celebration Team Member
    Participate in live nativity scene
    Assist with family crafts and creations
    Assist with ticket sales
    Help with sound, video and photo production
    Help design and decorate set
    Assist with planning and implementing the activities for December 9th, 2012
• • Help with Spring Musical Production
    Help during rehearsals
    Help with costumes, props and set design
    Help with sound, video and photo production
    Cast and family support
    
• • VBS (Vacation Bible School) Support
    Yes, I would like to help with VBS.
    You choose how you would like to help: be a crew leader, lead a station, organize supplies, decorate, take pictures, etc. VBS will be June 10-13, 2013.

• • Families may be asked to donate supplies or food items for Kids Ministry Church School and Events.

    Please contribute as you are able.

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