KidsMin Registration

Welcome to the family! We can't wait to meet you this Sunday. Please complete the form below, once completed you will receive a confirmation email. Each child will need their own form completed.

When you arrive on Sunday please visit the PGC Kids table and check in with a volunteer. Please do not hesistate to contact Tiffany our Children's Ministry Director if you should have any questions: Tiffany@provinggroundchurch.com

Child Information

Name

Nick Name (if one is preferred)

Gender

male female

Birthdate

Address

Grade

Allergies

Medical/emotional concerns

Parent Information

Parent Name

Preferred Email

This address will receive a confirmation email

Preferred Phone

Address if different from the one listed above

Additional Parent Name

Additional Parent Email

Additional Parent Phone

Emergency contact name and phone number:

I give consent to use my child's photo or video for PGC use only. Names and any other identifiable details will never be included.

Yes No

Description

Please fill out this form and click submit.

KidsMin Registration

Description

Please Fix the Following