Stepping Stones (1st & 2nd Grade) Registration Form FALL 2022/SPRING 2023

Stepping Stones

* The Fall session of Stepping Stones begins September 29th and will run through December 22, 2022.
* Stepping Stones meets Thursdays from 5:00-6:0 pm.
* Drop off and Pick up will in Schulte Hall at Allentown Presbyterian Church, 20 High St., Allentown, NJ.
* When possible, Stepping Stones will meet OUTSIDE on the balconies of the APC Education Building (overlooking the Little Tree playground). We request that you dress the children for the weather (including warm footware and an additional layer of clothing!).
* Parents are expected to monitor their child’s health and follow CDC guidelines regarding Covid symptoms, exposures, and testing when deciding whether or not to send them to Stepping Stones, ROCK, Sunday School or any other APC ministry program or event.

We are excited to being another year of ministry with children, Partnering with Parents to raise kids with faith that lasts!

Name of child you are registering. Please submit a form for each child being registered.

Name

Address

Age

Birthdate

Grade

School

Things we should know about your child:

Has your child been baptized?

Yes No

Does your child read at grade level?

Yes No

How does your child get along with peers?

Does your child read music?

Yes No

Does your child play any instrument?

Yes No

If so, which?

Does your child have any medical conditions, food or other allergies?

Does your child have any special needs about which we should be aware? Please also see the Stepping Stones leader for more information about our Inclusive Ministries Committee.

Is there anything special we should know about your child so we can help them grow in their faith?

Parent Info

Parent Name (first and last)

Cell parent #1

Email parent #1

This address will receive a confirmation email

Address parent #1, if different from child's.

Are you a member of APC?

Yes No

Church affiliation.

How did you learn about Stepping Stones?

Are you interested in learning more about APC?

Yes No

Name parent #2 (first and last)

Cell parent #2

Email parent #2

Address, if different.

Parent #2, are they a member of APC? Yes No

Emergency Contact (in the event that the parents cannot be reached) Must not be a ROCK leader:

Name/Relation

Phone

Safety Policy:

I would like a copy of the APC Child and Youth Safety Policy.

Yes No

Release for Publication:

I, the undersigned, hereby grant permission to the Allentown Presbyterian Church to take and publish photographs, video, voice recordings, or any other likeness of my child for use in published material (includes print, web based, or other media types) that may be presented in the public domain (outside of Church services or Church-sponsored programs, ministries, activities, or events) for the purpose of promoting Church-Sponsored programs, ministries, activities or events.

I give permission as outlined above. I do NOT give permission as outlined above.

Electronic Signature*

Date

*By entering my name in the box above, I am providing my digital signature on this form.

Health Policy

I agree to monitor my child's health (i.e. stomach flu, fever, diahhrea, Covid, etc.) and to follow CDC guidelines regarding COVID symptoms, exposures, and testing when deciding whether or not to send them to ROCK, Stepping Stones, Sunday School or any other APC ministry program or event.

Parent Signature

Date

*By entering my name in the box above, I am providing my digital signature on this form.

Stepping Stones (1st & 2nd Grade) Registration Form FALL 2022/SPRING 2023

Description

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