Child Information Form

All children participating in Alpine Kids church must have a form filled out by parent / guadian

Legal first and last name

Date

if child has these ^

PARENT or GUARDIAN INFORMATION

Please leave cell number to receive texts or calls if you are needed to attend to your child during church

PARENT QUESTIONAIRE

Please answer the questions below that apply to your child and may help our church best serve your child.

please be as specific as you find necessary
*If child is fed a bottle of breast milk or fomula, please be sure to leave some with our volunteers

please add any information that would be helpful for our volunteers

*If actions require physical touch more than what is stated as appropriate in the child care policy please state that so we can take proper and appropriate action (ie. getting the parent or guardian)

pick one

pick one

example: if there's something you know they have a difficult time communicating that only someone close to them may pick up on