ResKidz Registration

Please complete this form for each child attending a Resurrection service, ages 0-5th grade. Click submit when completed.

Child's Name

Guardian or Guardians' Name(s)

Guardian 1 Email

This address will receive a confirmation email

Guardian 2 Email

This address will receive a confirmation email

Guardian 1 Phone

Guardian 2 Phone

Phone Number to receive important text alerts

By filling in the above Phone Number field I am authorizing Church of the Resurrection to send me occasional text notifications of important ResKids updates.

Child's Date of Birth

Child's Grade (if summer, please select grade entering in fall)

Please select one option.

Nursery (Ages 0-2) Preschool (Ages 3-4) Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Allergies

Please share any additional information about your child that could help us best serve him/her during their time in ResKids. (allergies, anxieties, medical conditions...)

Photo Release

Occasionally during certain ResKids programs, we have a photographer present to photograph or video/audio record the event, and the photographs or video footage may be used in presentation or promotional materials.

Permission to Photograph/Video Record:

Please select one option.

I AGREE to have my child photographed/video recorded. I DO NOT AGREE to have my child photographed/video recorded.

Please type full name as electronic signature:

Description

Please complete this form for each child attending a Resurrection service, ages 0-5th grade. Click submit when completed.

ResKidz Registration

Description

Please Fix the Following