773-3123 x 107 ~ dbartley@maine.rr.com

Welcome to the Children's Channel. We want children to feel loved and cared for in the programs we offer. Our prayer is that all children will come to know Jesus at an early age and choose to live for Him. The Children’s Channel is a place for children - ages Infant through 6th grade - to learn more about Jesus and become His disciple. We offer many programs at FBC to support parents in this goal. 

Child’s Name: ______________________________________Today's date:_____________________

Date of Birth: ____________________Parents names where child lives: ________________________

Home Phone: __________________________Child's Nickname______________________________

Mom's Cell Phone: _____________________Dad's Cell Phone: ______________________________

Additional person in case of emergency: Name_____________________________________________

Phone:__________________________________Relationship:_______________________________

Child’s Address:___________________________________________________________________

Different Address for:     Mom      Dad   Name____________________________________________

 Address________________________________________________________________________

 Please check one:

 ________ Infants Nursery (newborn to walking steadily)    _________ Toddlers Nursery (up to age 3)

 ________  Pre-school 1 (entering K Fall 2008)      __________  Pre-school 2  (entering K Fall 2007)

 School Grade Fall 2006: ____________Allergies or Medical Concerns:_______________________ 

 ____________________________________________________________________________

Activities in which my child is involved:    

______GAB    ______ Sunday School    ______ Nursery   ______ Mom’s Group  ______ VBS 

______ Jr. Choir  _____ FBC Camp   ______ Outreach Activities

Children younger than Second Grade are not dismissed to find their parents. A parent must come and get their child from these activities. Please make a plan with your older children as to where you will meet. If an evacuation takes place, children are not released to their parents unless authorized by emergency personnel. Parents are welcome to join their child while the drill or event happens.

The Children’s Channel programs are run by volunteers like you! Parents are strongly encouraged to help. How would you like to get involved? Please check as you feel led by God to serve.

_____ Lead/help with singing   _____ Will pray for workers  _____ Play an instrument 

_____ Can do puppets/skits _____ Willing to tell a story   _____ Help prepare files/lessons

_____ Willing to share a testimony  _____ Create bulletin boards _____ Will substitute teach 

_____ Will help in nurseries ______ Will help a class or group   ______ Will be on Nursery Committee

I give permission for my child to participate in Children’s Channel activities on or off the grounds of First Baptist Church.  (Notification of times and location of special events will be communicated to parents in advance.)

Signed: __________________________________________________________________________________________

 I give permission for my child to be photographed or videotaped for the Children’s Channel communications.

Signed: __________________________________________________________________________________________

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