Door Creek Church
 
 
2008 - 2009 Children's Ministry Registration
 
 
Personal Information

required field = Required
Parent(s) or Guardian: *
Address: *
 
City: *
State:  
ZIP Code: *
Telephone: - - *
Email Address: *
Cell Phone: - -
 
Please check here if you would like to be contacted about helping out in Children's Ministry.
 
Service your child will most often attend: *
Saturday 5:30 p.m.
Sunday 9 a.m.
Sunday 10:45 a.m.
 
To help your child form relationships with volunteers and other children, we encourage you to consistently bring your child to the same service each week.
 
How many children are you registering?

Child 1

Child's Name: *
Date of Birth: (mm-dd-yyyy) *
Age: *
Gender:Male Female *
Grade: *
 
Does your child have any special challenges, needs or behaviors we should be informed of? *
Yes No
 
Does your child have any specific medical or food allergies, chronic illness or other conditions we should know about? If yes, please specify below. Also, please complete and return the detailed medical information form available in the church office. 
 
Occasionally photos are taken and used in promotional brochures, Instructional materials, and PowerPoint presentations at Door Creek Church or on its Web site. I authorize the use of my child's image for these purposes, if needed. *
Yes No  
 
Ministry Information

Please check the ministry/ministries your child will be attending and complete any additional information requested for that ministry. *
God's Garden (lnfants through Pre-Kindergarten)
  DCC diaper bag tag
  New Photo ID(s) - pictures on file
  Picture taken for new photo ID
 Tell me more about this

KidJam (Kindergarten through 5th Grade)
Upward basketball (Kindergarten through 5th Grade) - Additional completed form required
Awana (Age 3 through 6th Grade).  icon Click here for additional form required (244.47 KB)
 
Fill out for Awana only:
Church affiliation if other than Door Creek:
 
Emergency contact in case parents cannot be reached at phone numbers above:  
Name:
Telephone: - -
Cell Phone: - -
 
ln case of emergency, if parents or guardian cannot be reached, I hereby authorize treatment of first aid measures.
Yes No
Parent's or Guardian's Initials:

Child 2

Child's Name:
 *
Date of Birth:
 (mm-dd-yyyy) *
Age:
 *
Gender:
Male Female *
Grade:
 *

Does your child have any special challenges, needs or behaviors we should be informed of? *
Yes No

Does your child have any specific medical or food allergies, chronic illness or other conditions we should know about? If yes, please specify below. Also, please complete and return the detailed medical information form available in the church office. 


Occasionally photos are taken and used in promotional brochures, Instructional materials, and PowerPoint presentations at Door Creek Church or on its Web site. I authorize the use of my child's image for these purposes, if needed. *
Yes No  

Ministry Information

Please check the ministry/ministries your child will be attending and complete any additional information requested for that ministry. *
God's Garden (lnfants through Pre-Kindergarten)

DCC diaper bag tag

New Photo ID(s) - pictures on file

 Picture taken for new photo ID

Tell me more about this



KidJam (Kindergarten through 5th Grade)
Upward basketball (Kindergarten through 5th Grade) - Additional completed form required
Awana (Age 3 through 6th Grade). icon Click here for additional form required (243.01 KB)

Fill out for Awana only:
Church affiliation if other than Door Creek:


Emergency contact in case parents cannot be reached at phone numbers above:  
Name:
Telephone:
 - -
Cell Phone:
 - -


ln case of emergency, if parents or guardian cannot be reached, I hereby authorize treatment of first aid measures.
Yes No
Parent's or Guardian's Initials:


Child 3

Child's Name:
 *
Date of Birth:

 (mm-dd-yyyy) *
Age:
 *
Gender:

Male Female *
Grade:
 *

Does your child have any special challenges, needs or behaviors we should be informed of? *
Yes No

Does your child have any specific medical or food allergies, chronic illness or other conditions we should know about? If yes, please specify below. Also, please complete and return the detailed medical information form available in the church office. 


Occasionally photos are taken and used in promotional brochures, Instructional materials, and PowerPoint presentations at Door Creek Church or on its Web site. I authorize the use of my child's image for these purposes, if needed. *
Yes No  

Ministry Information


Please check the ministry/ministries your child will be attending and complete any additional information requested for that ministry. *
God's Garden (lnfants through Pre-Kindergarten)

DCC diaper bag tag

New Photo ID(s) - pictures on file

 Picture taken for new photo ID

Tell me more about this



KidJam (formerly known as Big House, Kindergarten through 5th Grade)
Upward basketball (Kindergarten through 5th Grade) - Additional completed form required
Awana (Age 3 through 6th Grade). icon Click here for additional form required (243.01 KB)

Fill out for Awana only:
Church affiliation if other than Door Creek:


Emergency contact in case parents cannot be reached at phone numbers above:  
Name:
Telephone:
 - -
Cell Phone:
 - -


ln case of emergency, if parents or guardian cannot be reached, I hereby authorize treatment of first aid measures.
Yes No
Parent's or Guardian's Initials:


Child 4

Child's Name:
 *
Date of Birth:

 (mm-dd-yyyy) *
Age:
 *
Gender:

Male Female *
Grade:
 *

Does your child have any special challenges, needs or behaviors we should be informed of? *
Yes No

Does your child have any specific medical or food allergies, chronic illness or other conditions we should know about? If yes, please specify below. Also, please complete and return the detailed medical information form available in the church office. 


Occasionally photos are taken and used in promotional brochures, Instructional materials, and PowerPoint presentations at Door Creek Church or on its Web site. I authorize the use of my child's image for these purposes, if needed. *
Yes No  

Ministry Information


Please check the ministry/ministries your child will be attending and complete any additional information requested for that ministry. *
God's Garden (lnfants through Pre-Kindergarten)

DCC diaper bag tag

New Photo ID(s) - pictures on file

 Picture taken for new photo ID

Tell me more about this



KidJam (formerly known as Big House, Kindergarten through 5th Grade)
Upward basketball (Kindergarten through 4th Grade) - Additional completed form required
Awana (Age 3 through 6th Grade).. icon Click here for additional form required (243.01 KB)

Fill out for Awana only:
Church affiliation if other than Door Creek:


Emergency contact in case parents cannot be reached at phone numbers above:  
Name:
Telephone:
 - -
Cell Phone:
 - -


ln case of emergency, if parents or guardian cannot be reached, I hereby authorize treatment of first aid measures.
Yes No
Parent's or Guardian's Initials:


Child 5

Child's Name:
 *
Date of Birth:
 (mm-dd-yyyy) *
Age:
 *
Gender:
Male Female *
Grade:
 *

Does your child have any special challenges, needs or behaviors we should be informed of? *
Yes No

Does your child have any specific medical or food allergies, chronic illness or other conditions we should know about? If yes, please specify below. Also, please complete and return the detailed medical information form available in the church office. 


Occasionally photos are taken and used in promotional brochures, Instructional materials, and PowerPoint presentations at Door Creek Church or on its Web site. I authorize the use of my child's image for these purposes, if needed. *
Yes No  

Ministry Information


Please check the ministry/ministries your child will be attending and complete any additional information requested for that ministry. *
God's Garden (lnfants through Pre-Kindergarten)

DCC diaper bag tag

New Photo ID(s) - pictures on file

 Picture taken for new photo ID

Tell me more about this



KidJam (formerly known as Big House, Kindergarten through 5th Grade)
Upward basketball (Kindergarten through 5th Grade) - Additional completed form required
Awana (Age 3 through 6th Grade). icon Click here for additional form required (243.01 KB)

Fill out for Awana only:
Church affiliation if other than Door Creek:


Emergency contact in case parents cannot be reached at phone numbers above:  
Name:
Telephone:
 - -
Cell Phone:
 - -


ln case of emergency, if parents or guardian cannot be reached, I hereby authorize treatment of first aid measures.
Yes No
Parent's or Guardian's Initials:

 
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Contents In This Section
Children's Ministry
Our Mission
God's Garden (Nursery - Pre-K)
famjamLive!
KidJam
Awana
Open Arms, Special Needs Ministry
Parent-Child Dedication
Upward Basketball
Open Positions
The Story Door
Children's Ministry
 
 
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