Children Enrollment Form | The House of God Church

Subject *

Child’s/youth’s Full name *

Child’s/Youth’s Birthday

Nickname

School Grade

Address

Suburb

Postcode

Mother’s name

Phone Number

Mother’s

Father’s name

Phone Number

Father’s

Your Email *

Emergency Contact Person

If parents cannot be contacted these following authorized persons can be contacted

Phone Number *

Emergency Contact Person Phone Number

Does your child have any food allergies?

Does your child/youth have any medical conditions which we should be made aware of?

Does your child have any speech problems?

No

Yes

Does your child have any hearing problems?

No

Yes

Does your child have any visual problems?

No

Yes

Would there be any restrictions to play or activities?

Does your child have any special talents or skills (i.e., musical instrument….)

What is your normal method of discipline?

What is your child's temperament?

Are they easy going, hard to please, demanding, aggressive, etc.

Are there any food restrictions?

What is your child's favorite food?

What food does your child dislike?

Has your child had experience playing with other children?

Are there any other comments or information you would like to let us know about?

Any specific concerns?

Do you authorize the publication of your child's photograph via newspaper, website, or other publications?

Yes

No

Upload your family photo

Upload your child photo

By checking this box, I, as the parent/guardian, hereby verify that all the information provided is accurate and consent to my child's participation in the House of God Church Kids Ministry. Additionally, I understand and agree to the terms and conditions outlined, including the authorization for the publication of my child's photograph, as indicated above.

Building a Strong Spiritual Foundation for Our Children

House of God church children Enrolment Form 2024

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