Welcome — San Marco Church Jax

San Marco Kids Registration

San Marco Kids occurs on the 2nd and 4th Sunday of each month and is currently available for children ages 1 year through 10 years. Please complete the registration form below for each child.

Name of Child

Gender

Age

Birthday

Current Grade and School

Allergies:

Special Medical or Dietary Needs, or Other Areas of Concern:

Parent Name and Phone Number

Parent Name and Phone Number

Emergency Contact & Phone Number (other than parents)

Name and Phone Number for Other Adults allowed to pick up my child from children's area

Include up to 3 (three) adults

Child Lives with:

Please list the first and last names of all adults that apply:

Who has legal custody of the child

Please list the first and last names of all adults that apply:

CONSENT: I give permission for my child to participate in children's ministry activities with San Marco United Methodist Church.

Please type your initials to confirm your consent. Otherwise, please type I DO NOT CONSENT.

CONSENT: I give permission for my child's diaper to be changed, if necessary.

Please type your initials to confirm your consent. Otherwise, please type I DO NOT CONSENT.

CONSENT: I give permission for the use of diaper cream, if necessary.

Please type your initials to confirm your consent. Otherwise, please type I DO NOT CONSENT.

CONSENT: I give permission for my child to be taken to the restroom during children's ministry activities.

Please type your initials to confirm your consent. Otherwise, please type I DO NOT CONSENT.

CONSENT: I give permission for my child to receive basic first aid (ie bandaids, ice, etc), if necessary.

Please type your initials to confirm your consent. Otherwise, please type I DO NOT CONSENT.

CONSENT: I give permission for my child's still photo or video to be used for promotional purposes for San Marco United Methodist Church.

Please type your initials to confirm your consent. Otherwise, please type I DO NOT CONSENT.