Elementary Member & Visitor Data Form

Today's Date:

General Information

Please check one:

Our family is a MEMBER of Calvary Road. Our family ATTENDS but are not MEMBERS of Calvary Road. Our family is VISITING Calvary Road.

Parents, please provide your location for the hour that your child is with us so that we can find you if necessary. If you are in the worship service, please tell us where you sit (generally) in the auditorium.

I would like to enroll my child in the following program(s):

9:30 A.M. Sunday School 11:00 A.M. Children's Worship

9:30 A.M. Hour Parent Location:

11:00 A.M. Hour Parent Location:

Child's Personal Information

Name

Upload a head shot picture:

Upload (8MB)

Gender

Female Male

Date of Birth: (mm/dd/yyyy)

Address

Please provide your child's school information for the 2022/23 academic year.

Grade:

If you selected "Other" for your school in the above field please type in the name of your school here so we can add it to the list. Thanks!

List any/all food allergies, etc. that we need to know about. IF NONE, TYPE

Parent's Personal Information

Parent 1 Name (FIRST, LAST):

Parent 1 Email:

This address will receive a confirmation email

Parent 1 Cell:

Parent 1 Other Phone:

Other phone type: Home Cell 2 Work

Parent 2 Name (FIRST, LAST):

Parent 2 Email:

This address will receive a confirmation email

Parent 2 Cell:

Parent 2 Other Phone:

Other Phone Type: Home Cell 2 Work

Additional Comments:

I have double-checked each of my field-entries above for accuracy and consent to the information provided in this form to be used by Calvary Road Baptist Church to keep me informed of important information concerning my child. PLEASE ENSURE CHILD'S BIRTH DATE YEAR IS CORRECT!

Yes No

Name of person submitting this form (FIRST, LAST):

Elementary Member & Visitor Data Form

Description

Please Fix the Following