Ossington Pentecostal Church - Child Registration Form

Child's First Name

Child's Last Name

Child's Date of Birth

Child's Age

Gender

Address

Apartment, suite, etc.

City

Province

Zip/Postal Code

First Name

Last Name

Relationship to the child

Phone Number

Email

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Add Another Parent's Information

Yes

No

First Name

Last Name

Relationship to the child

Phone Number

Email

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

What Grade Is Your Child Currently In

Is your child allowed to have a snack?

Yes

No

Please note we ask parents no to provide any snacks unless they are specifically required for your child due to dietary restrictions

If Yes,

It can be a snack provided by the Church

Only approved snacks provided by the parent

Does Your Child Have Any Allergies

Yes

No

If Yes, please list all allergies

Does Your Child Have An Epi-Pen

Yes

No

What Is Your Child's Favorite Activity

What Annoys Your Child's The Most