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dz family registration form
New to Fellowship? Save yourself some time on your first visit by filling out this form ahead of time!
Family Last Name
*
Mom's Name
*
First
Last
Mom's Cell
*
Dad's Name
*
First
Last
Dad's Cell
*
Address
*
City
*
Zip Code
*
Cell Service Provider
*
AT&T
Verizon
Sprint
T-Mobile
Other (Fill Bellow)
Other (If Applicable)
*
Email
*
Child 1 Name
*
Birthday
*
Grade
*
Nursery
Pre School
Kindergarten
1st
2nd
3rd
4th
5th
Allergies (If Any)
*
Child 2 Name
*
Birthday
*
Grade
*
Nursery
Pre School
Kindergarten
1st
2nd
3rd
4th
5th
Allergies (If Any)
*
Child 3 Name
*
Birthday
*
Grade
*
Nursery
Pre School
Kindergarten
1st
2nd
3rd
4th
5th
Allergies (If Any)
*
Child 4 Name
*
Birthday
*
Grade
*
Nursery
Pre School
Kindergarten
1st
2nd
3rd
4th
5th
Allergies (If Any)
*
Other Adults Allowed to Pick up my Kids
*
Emergency Contact Name
*
First
Last
Phone Number
*
relationship to kids
*
I would like to receive a message to preregister my children to save time checking
in on Sundays. Tags would be printed and available at the Registration Desk.
Select One
*
Yes, via Email
Yes, via Text
No
Select an answer for question 1
I would like to receive a weekly Discussion Question about the week's lesson.
Select One
*
Yes, via Email
Yes, via Text
No
Select an answer for question 2
I would like to receive information on upcoming events.
Select One
*
Yes, via Email
Yes, via Text
No
Select an answer for question 3
I give my consent to change my child's diapers or assist if they have a bathroom accident.
Select One
*
Yes
No
I give my consent to Fellowship Chapel to take photos and videos of my child while participating in activities with the church. I understand these images may be posted in the building and/or on our church web site.
Select One
*
Yes
No
We will be contacting you by text if there is a problem with one of your children that requires your attention.
Please be attentive to your cell phone and keep it on vibrate.
Submit
WATCH
I'M NEW
plan your visit
next steps
who we are
what we believe
our team
CONNECT
what's happening
community groups
care groups
children
students
SERVE
get involved
for macomb
for the world
GIVE