What service will you be attending? 4:30 pm 6:00 pm 9:30 am 11:15 am

PLEASE LIST CHILDREN FROM OLDEST TO YOUNGEST
(Please indicate age-appropriate grade that child would attend in public/private school.)

Would you like your child/children to be signed up for a small group? YES NO

**Important Information about small groups**

1. Our Sunday morning small groups consist ideally of one leader and 6 to 10 kids. We believe life change happens best within the context of relationships, and these small groups help facilitate such relationships.

2. Small groups are for children age two through fifth grade.

3. Children are assigned to a small group (i.e. RED, YELLOW, etc.) for ONE Weekend service only (4:30, 6:00, 9:30 or 11:00)

4. In order to remain in a small group, children must attend their assigned small group at least two times a month.

5. Guests, infrequent attendees, and children who don't attend at their assigned service are placed in our guest (GOLD) group. These groups are great and the lesson is the same; however, the groups are larger than our small groups and they don't benefit from having the same kids and leader week to week.

Are there any allergies? YES NO
If yes, please list child and allergies

Are there any special needs that your child has? YES NO
If yes, list name of child and needs:

Do you think your child would benefit from a special needs “One-on-One” Buddy? YES NO

Is there any other information involving the well-being of your child we should know about? YES NO
If yes, please describe:

Would you like more information on how to get involved as a KidCity volunteer? YES NO