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About Jesus
About New Life Church
Select A Campus
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Join us in person
Gladstone
Nueva Vida
Oregon City
West Linn
Wilsonville
Cart
0
About Jesus
About New Life Church
Select A Campus
Join us in person
Gladstone
Nueva Vida
Oregon City
West Linn
Wilsonville
New Life Kids Registration
New Life Church
Please submit one form per child.
Child's Name
*
First Name
Last Name
Child's Primary Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Mother's Name
First Name
Last Name
Mother's Phone
*
(###)
###
####
Father's Name
*
First Name
Last Name
Father's Phone
*
(###)
###
####
Parent's Email
*
Age and/or Grade of Child
*
Emergency Contact
*
First Name
Last Name
Phone
*
(###)
###
####
Authorized Pick-Up List
*
Please list those who may pick up your child. If a person name is not listed they will not be able to pick up your child.
For Nursery Only: Do you give permission for staff to change diaper?
Yes
No
Do you give permission for staff to help your child in the restroom?
*
Yes
No
Do you give permission for us to take pictures of your child?
*
For use on church website and/or social media
Yes
No
Do you give permission for your child to be given a snack?
*
Yes
No
Does your child have any allergies?
*
Yes
No
If Yes, please list allergies here:
Does your child have any medical needs or disabilities?
*
Yes
No
If Yes, please describe:
Any addition instructions or information we should know?
By pressing Submit below, I give permission for the volunteers in the New Life Kid's Ministry to care for my child.
Date
*
MM
DD
YYYY
Thank you!
