MBC Kids 2024-2025

Parent 1 Name

Parent 1 Email

This address will receive a confirmation email

Parent 1 Phone

Phone Type

Cell Home

Parent 2 First Name

Parent 2 Last Name

Parent 2 Email

Parent 2 Phone

Phone Type Cell Home

Address

Emergency Contact

Emergency Contact Phone

Individual Authorized to Pick Up Child (if different than names listed above)

Children Pickup on Wednesdays: At 8:25 p.m., all children 4 and up will be checked-out of MBC children’s ministry. At that time, supervision responsibilities are transferred to parents and the children will be released from the gym. The 2’s & 3’s will remain in their classroom until they are picked-up by the person with the pick-up tag.

Photo Release: I understand that by participating in MBC Kids, I am giving consent for Maranatha Baptist Church and its representatives to photograph my image and that of my child for materials, should my child or myself appear in any form of media to promote Maranatha Baptist Church in accordance with its mission. I understand it is the practice of Maranatha Baptist Church to request permission from parents to use a picture including their child for church promotions.

Child 1 Information

Name

Gender

Male Female

Date of Birth

Allergies

Preferences (not an allergy, but a care or food preference you would like to share with us for your child)

Permissions (please select all that apply)

My child is potty trained. I give consent for screened workers to take my potty training child to the bathroom. I want to be contacted and will be available to take my potty training child to the bathroom. I give consent for female screened workers ages 18 and up to change my child's diaper. I want to be contacted and will be available to change my child's diaper.

Please share any special instructions you may have for a potty training or diapering child.

T-shirt Size

YXS YS YM YL YXL

Child 2 Information

Name

Gender Male Female

Date of Birth

Allergies

Preferences (not an allergy, but a care or food preference you would like to share with us for your child)

Permissions (please select all that apply) My child is potty trained. I give consent for screened workers to take my potty training child to the bathroom. I want to be contacted and will be available to take my potty training child to the bathroom. I give consent for female screened workers ages 18 and up to change my child's diaper. I want to be contacted and will be available to change my child's diaper.

Please share any special instructions you may have for a potty training or diapering child.

T-shirt Size YXS YS YM YL YXL

Child 3 Information

Name

Gender Male Female

Date of Birth

Allergies

Preferences (not an allergy, but a care or food preference you would like to share with us for your child)

Please share any special instructions you may have for a potty training or diapering child.

Permissions (please select all that apply) My child is potty trained. I give consent for screened workers to take my potty training child to the bathroom. I want to be contacted and will be available to take my potty training child to teh bathroom. I give consent for female screened workers ages 18 and up to change my child's diaper. I want to be contacted and will be available to change my child's diaper.

T-shirt Size YXS YS YM YL YXL

Child 4 Information

Name

Gender Male Female

Date of Birth

Allergies

Preferences (not an allergy, but a care or food preference you would like to share with us for your child)

Please share any special instructions you may have for a potty training or diapering child.

T-shirt Size YXS YS YM YL YXL

Child 5 Information

Name

Gender Male Female

Date of Birth

Allergies

Preferences (not an allergy, but a care or food preference you would like to share with us for your child)

Please share any special instructions you may have for a potty training or diapering child.

T-shirt Size YXS YS YM YL YXL

MBC Kids 2024-2025

Description

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