Grade
Address
Birthday Month Day Year
E-mail:
Mother's Name(or legal guardian) Cell
Father's Name(or legal guardian) Cell
Alternate Pickup:
Emergency Contact:
Allergies, Medical Needs or Special needs (please be detailed)
Singing Parts
Shirt Size
May we have permission to photograph your child and use your child's photograph in any and all forms of New Covenant
Christian Church publications (i.e. Church websites, brochures, newsletter etc.)