Christ Presbyterian Church
Children’s Ministry
Carpenter’s Kids
Club
During the school
year 2008-2009
CKC is an after-school program
open to all children
Kindergarten – 5th
Grade
Thursdays 2:30 –
5pm
Registration Form
Fall Term: August 21
– December 18
Winter/Spring Term:
January 8 – May 21
Please Print
Child’s
Full Name _____________________________________________
Birthday
___________ School Grade ______ School________________
Address
__________________________________________________
City _________________________ Zip Code
____________________
Home
Phone _______________ Email address ____________________
Parents
Full Name: Mom ________________ Dad
________________
Work
Phone Number: Mom ________________ Dad
________________
Cell
Phone Number: Mom ________________ Dad
________________
Any
medical conditions that we should be aware of
_________________________________________________________
In case
of emergency contact (other than parent) Name ______________
Relationship
_____________________ Phone Number
______________
Continue to
Other Side
Volunteers are
needed to help this ministry program be all it is designed for.
Please consider
below and check any of the categories that may apply.
______ Yes,
I can help on a regular basis, Thursdays during the Fall term
______ Yes,
I can help on a regular basis, Thursdays during the Spring term
______ Yes,
I can help every other Thursday during the Fall or Spring term
______ Yes,
I can help one time a month during the Fall or Spring term
______ Yes,
I am available to substitute on an occasional Thursday
______ Yes,
I can help provide transportation from school to CPC
________________________ (name of
school)
-------- Yes,
I am available to drive the CPC bus to pick up elementary students and/or
middle school helpers on Thursdays
______ Yes,
I can help serve snacks from 2:30 – 3:00 PM
______ Yes,
I would like to offer a class in
________________________
(hobbies such as: painting,
photography, drama, etc.)
