Child Registration Form 2026

CHILD INFO

Name

Preferred Name for Name Tag

Address

Gender

Male Female

Birthdate

Please indicate the grade this child just COMPLETED:

Kindergarten First Grade Second Grade Third Grade Fourth Grade Fifth Grade

Allergies, Medical & Special Needs

PARENT/GUARDIAN INFORMATION

Parent/Guardian Name

Cell Phone

This address will receive a confirmation email

Emergency Contact Name (1)

Emergency Contact Phone (1)

Emergency Contact Name (2)

Emergency Contact Phone #2

OTHER INFORMATION

Let us know here of special food diet restrictions or allergies

Have you attended a church service in the last month?

YES NO

If so, where?

Guest of:

By checking this box, I give permission for North Pointe Baptist Church to obtain medical attention in the event of an emergency (and when a parent or emergency contact cannot be reached)

Yes No

By checking this box, I give permission for my child's photos to be used in print/online at the discretion of North Pointe Baptist Church. I understand that my child will NOT be named or tagged in any photo

YES NO

Anything else we need to know?/Comments

Description

Fill out the form below to register for ADVENTURE DAYS IN THE PARK! We're excited that your child(ren) are coming to this fun event.

DATE: Tuesday--Thursday, July 7th thru 9th from 10:00 AM -- 1:00 PM
CHURCH CONTACT PERSON: Robert Schulze at robert@npfam.com or use the CONTACT form on the web page.
AGE GROUP: Children having completed Kindergarten--Fifth Grade

Please complete one registration form for each child and click submit.
Have any questions? Call the church office at 817-282-1040

Child Registration Form 2026

Description

Please Fix the Following