Children’s Ministry Family Contact Information

Primary Adult Contact Name(s) (those who will check in/check out the children)

Relationship to the Children

Contact Address

Contact Phone Number

mobile phonehome phonework phone
I'd like to receive BCC Kids text alerts (approximately once per week).

Primary Contact Email

I'd like to receive the BCC Kids Monthly newsletter:
textemail

Names of anyone NOT approved to check-out your children:

Child's Name

Child's Date of Birth

Child's Grade & School Name

Any Allergies or Medical Conditions

Child's Name

Child's Date of Birth

Child's Grade & School Name

Any Allergies or Medical Conditions

Child's Name

Child's Date of Birth

Child's Grade & School Name

Any Allergies or Medical Conditions