Kirk Kids 2025-2026 Child Registration

Child Information

Child's Name

Name Used (if different than first name)

Child's Date of Birth

Child's Grade Level Fall 2025

Does your child have any allergies, medical conditions, or other special needs (educational, physical, social, etc)?

Yes No

If YES, please describe them and any additional information you would like us to know.

Please select all activities your child plans in which your child plans to participate:

Sunday School Music & More/ Kirk Family Night Church Wide Events (Trunk or Treat, Advent Fair, Egg Hunt, etc). Other

Parent/Guardian Information

Parent/Guardian 1 Name (first and last)

Relationship to Child

This address will receive a confirmation email

Phone

Address

Parent/Guardian 2 or Emergency Contact Name (first and last)

Relationship to Child

Phone

Address (if different from above)

Pick Up Permissions

Are there any custody situations we need to be aware of? Is there anyone who does NOT have permission to pick up your child?

Photo Release

I give permission for my child to be photographed and/or videotaped for the purposes of promoting the Kirk of Kildaire and its ministries. Every effort will be made not to include children’s names, and last names will never be used.

My child’s image may appear in print (bulletins, newsletters, etc)

My child’s image my appear online (website, newsletters, social media, etc,)

Photo Release

Yes, my child’s picture can be taken and used internally and externally without names attached. No, my child's photo cannot be used.

Covenant

At the Kirk of Kildaire, we are committed to providing a safe and loving environment where children have the opportunity to grow in their faith and fellowship with each other, while enjoying music, games, learning, and fun. As a parent/guardian, we ask that you help ensure your child(ren) understand the expectations outlined below and encourage/guide them to meet these expectations while participating in Kirk Kids activities.

As a (child) participant in Kirk Kids Activities, I will:

Be kind and respectful of the people around me.
Listen to and follow directions given by leaders.
Use kind language and be inclusive to all other participants.
Respect the spaces and materials that we use and take care of them.
Engage in positive fellowship with all participants.
Be open to learning and growing in faith as I participate in Kirk Kids.

Kirk Parents: Please type your name below, acknowledging that you have read and understand the Covenant and have discussed with your child.

Kirk Kids 2025-2026 Child Registration

Description

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