Fun Friday Registration Form: 2026-2027

Child's Full Name:

Today's Date:

Select the Fun Friday date you are registering for:

September 25 October 23 December 4 February 26 March 19 April 30

Name to call your child:

Birthdate:

Current age (in years and months):

Mother's Name:

Father's Name:

Address:

Child lives with:

Both parents Mom Dad Other

Mother's Cell #: (___) ___ - ____

Mother's Employer:

Mother's Work #: (___) ___ - ____

Father's Cell #: (___) ___ - ____

Father's Employer:

Father's Work #: (___) ___ - ____

Other instructions for reaching parents:

Email:

This address will receive a confirmation email

Emergency Contact #1:

Phone #: (___) ___ - ____

Emergency Contact #2:

Phone #: (___) ___ - ____

Name(s) of persons (other than parents) authorized to pick up child:

Pediatrician:

Phone #: (___) ___ - ____

What allergies does your child have?

Any pre-existing or present medical conditions?

Immunizations current?

Yes No

Medical Emergency Statement:

In the event of a medical emergency where you cannot be reached, please initial and date that you give permission to the staff of Faith Presbyterian Church to secure necessary medical treatment for your child.

The following information will help Fun Friday staff better understand and care for your child:

Infant feeding and sleeping schedule (morning):

Do you want your child to nap if needed?

Yes No

Any food allergies?

Define your child's toilet and hygiene habits. When does he/she need assistance?

Please list any special information that will be helpful with your child's care:

Does your child attend church regularly?

Yes No

If so, where?

Please list names and ages of siblings:

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Thank you for registering for Fun Friday!

Fun Friday is a part of our children's ministry here at Faith Presbyterian Church. It is a themed approach to preschool fun! Occurring once a month, in-person drop-off begins at 8:30 and pick-up is 12:15-12:30. Sign up by noon on Thursday (prior). Send a lunch, and we’ll provide snack and lots of fun!

Costs are $35/1 child, $50/2 children, $65/3 children from the same family. You may pay check or cash the day of, or use credit card payment on this registration form.

Dates for Fun Fridays this year:
September 25
October 23
December 4
February 26
March 19
April 30

Fun Friday Registration Form: 2026-2027

Description

Please Fix the Following