2022-2023 FCC Child & Youth Registration
Please fill out one form per family and click submit.
Your child is our priority at Faith Covenant Church. From nursery to high school our trusted team of volunteers wants to come alongside you to reflect God's love and teach His Word. When you fill out this form you are letting us know that you'd like your child to be included in ministries designed just for them. To learn more about Children and Youth ministry visit
our website
.
Parent Information
Parent/Guardian Name
*
Second Parent/Guardian Name (if applicable)
Best Phone (This number will be used to reach you when your child is at church).
*
Best Email
*
This address will receive a confirmation email
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Child/Youth Information
Name(s) of child(ren), birthdate (mm/dd/year), grade (entering Fall 2022)
*
Programs my child(ren) will attend (Check all the apply)
*
Please select all that apply.
Age 0-2: the NURSERY during Sunday school (9:15am)
Age 2- Grade 12: SUNDAY SCHOOL (9:15am)
Infant & Toddlers: the NURSERY during worship (10:30am)
K-6th grade: KIDS CLUB (Wednesday evenings, Sept-Nov and Feb-April)
7th-12th grade: 412 YOUTH (Sundays 4:30-6:00 pm, Sept-May)
Basic Medical Information
Are there any allergies, medical conditions or special developmental needs we should be aware of?
Can your children be given a snack?
*
Please select all that apply.
Yes
No
Medical Authorization
Read our Child Protection and Safety Guidelines here
.
I have read and understand the FCC Child Protection and Safety Guidelines.
*
Please select all that apply.
Yes
I agree not to hold Faith Covenant Church, its employees, or its volunteers responsible for any injuries, illness or other liabilities that may transpire as a result of my children/youth's participation in the church's programs.
*
Please select all that apply.
Yes
Photo Release
I give permission for Faith Covenant Church to use photographs or videos of me and my minor children to further the Lord's work through Faith. I understand these photographs and pictures will not be shared with any other organization, nor will my (our) names be connected with the pictures, unless further permission is received.
*
Please select one option.
Yes
No
Submit
Description
Please fill out one form per family and click submit.
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