Main Street Baptist Church | Farmington, AR

The About My Child Sheet!

Parents Information

Parents First Name

Parents Last Name

Phone Number

Marital Status

Husband / Wifes First Name

Husband / Wifes Last Name

Child Information

Child's First Name

Child's Last Name

School Attedding

Child's Gender

Child's Birthday

What are some of your childs hobbies?

Does your child have allergies?

YES

NO

Allergies:

Emergency Contact List

Please list the details of two people to be contacted in the event of an emergency:

First Name

Last Name

Relation:

Phone Number

First Name

Last Name

Relation:

Phone Number

Ministry Reflection

What I want my chld to gain from his/her time in the Children's ministry:

How can we pray for your family?

My child has a Bible to bring to church?

Yes

No

Would you like your child to receive a Bible?

Yes

No

I would like to speak to the pastoral staff.

Has your child been baptized?

Yes

No

No, I would like to arrange a time for my child to meet with the Youth Minister.

Date of Baptism

THANK YOU FOR COMPLETING THIS FORM. YOUR CHILD'S SAFTEY AND BIBLICAL EDUCATION ARE OUR HIGHEST PRIORITIES!