Grace Kids Check-in Form / Forma de Check-in
Please fill out this form and click submit.
Favor de llenar la forma y presione “submit” al terminar.
CHILD INFORMATION - INFORMACIÓN DE NIÑO(A)
Name
*
Gender / Sexo
*
Please select one option.
Male / Hombre
Female / Mujer
FORMAT CELL PHONE / FORMATO NUM DE CEL
XXXXXXXXXX
Phone
*
Email
*
This address will receive a confirmation email
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
DATE OF BIRTH FORMAT / FORMATO FECHA DE NACIMIENTO
MM/DD/YYYY
Ex. 01/12/2021
Birthdate
*
Grace Kids / Vision 11:12 / GC Youth
*
Please select one option.
GKids Babies 2m-12m
GKids Walkers 12m-24m
GKids Toddlers 2 years
GKids Preschool 3-4yrs
GKids 5-6
GKids 7-8
GKids 9-10
Vision 11:12
N/A
Select Option
GKids Babies 2m-12m
GKids Walkers 12m-24m
GKids Toddlers 2 years
GKids Preschool 3-4yrs
GKids 5-6
GKids 7-8
GKids 9-10
Vision 11:12
N/A
Allergy / Alergia
*
Please select one option.
No
Yes
Allergic to / Alérgico a
Special Needs? / ¿Necesidad Especial?
*
Please select one option.
No
Yes
If YES, which one? / Si SI, Cual?
Status
*
Please select one option.
Member (Finished Grow / Terminó Crecer)
Attendee / Asisto
Visitor / Visitante
No Longer Attend / Ya no Asisto
Steps Taken / Pasos Tomados *
*
Please select all that apply.
Received Jesus / Acepte a Jesus
Baptized / Bautizado
Grow (Completed) / Crecer Completado
Grow (Attending) / Crecer (Asistiendo)
Serving Team / Equipo Dream Team Voluntario
Leader / Coordinator of Team
Connect Group (attend) / Asisto a Grupo Conexión
Connect Group (Lead) / Líder de Grupo Conexión
None
Dream Team *Area of Service / Area de Servicio
*
Please select one option.
Grace Kids Teacher/ Maestro
Grace Kids Assitant / Auxiliar
Welcome Signs / Letreros
Grace Kids Worship Team
Other Area / Otra Area
I Don’t Serve / No Sirvo
Dream Team Serve Day / Día que Sirves
*
Please select all that apply.
Wednesday / Miércoles
Sunday 9:30
Sunday / Domingo 11am
Other / Otro
None / Ninguno
Names of Family Members / Nombres de Miembros de Familia (live in same home / viven en la misma casa)
Family
*
Name of Head of Household / Nombre de Cabeza de Hogar
*
Submit
Description
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