Dwelling Place Kids Check-In Form

We are excited to connect with you and your family!

Your name *

Email address *

Please select the date of your initial check-in.

Please list the name(s) and age(s) of your child(ren). *

Parent/Guardian Name(s) *

Please list the names of individuals allowed to pickup your child(ren)? *

Please list a contact person (or people) and phone number(s) in case we need to reach out concerning your child. *

Social Media Waiver *

As a part of Dwelling Place Kids Ministry, may we post images of your child on our website or social media platforms?

Snack Waiver *

May our kids ministry team give your child(ren) snacks during kids church?

Does your child have any food allergies we should be aware of? *

If so, please list these below.

Is there anything else we should know about your child?

Thank you for taking time to complete this form and for being a part of Dwelling Place Church's Kids Ministry.

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