Emerge Kids Sunday School

Emerge Kids Pre-Registration Form

Child's Information

Help us place your child in the correct room with age-approriate activities.

Child's Full Name *

Date of Birth (MM/DD/YYYY): *

Grade (Choose One): *

Allergies or Medical Concerns: *

Parent/Guardian Information

For safety, communication, and emergency purposes.

First Name *

Last Name *

Relationship to the Child: *

Mobile Number *

Email Address *

Emergency Contact (if different from above):

Name

Phone

Relationship to Child:

Media Release

Optional photo permission for church-related use.

Do you give permission for Emerge Berkeley to photograph your child during Easter events for church-related promotion (social media, website, slideshows, etc.)? *

Yes, I give permission

No, I do not give permission

Safety & Check-In

Ensuring secure drop-off and pick-up.

Upon arrival, you will receive a parent tag for secure pick-up. This tag must be presented at dismissal to ensure your child’s safety. Please notify the check-in team of any special instructions, allergies, or accommodations upon arrival.

Parent/Guardian Signature

By typing my name below, I confirm that the information above is accurate and understand that Emerge Berkeley will take every reasonable precaution for my child’s safety during its Emerge Kids programs/events.

Signature *

Date *