NLC Children's Ministry Family Registration Form

Registration Is For (Select All That Apply To Your Family):

Sunday Morning Nursery (Newborn thru 2 yrs) Sunday Morning New Life Kids (3 yrs thru 6th grade) Awana

Parent / Guardian Name(s):

Email Address

This address will receive a confirmation email

Mobile Number

Secondary Phone Number

Address

Preferred Method Of Communication:

Text Email Phone Call

Emergency Contacts (in the event we are not able to reach you).

Emergency Contact #1 Name:

Emergency Contact #1 Phone:

Emergency Contact #1 Relationship To Child:

Emergency Contact #2 Name:

Emergency Contact #2 Phone:

Emergency Contact #2 Relationship To Child:

Permission To Check-in / Check-Out (In Addition To Parents - MUST Be At Least 16 Years Old):

Permission For Photos / Videos - Printed, Social Media And / Or Website (Please See Amanda Geiman For Permission Details.):

Yes No

Parent / Guardian E-Signature (By signing this document electronically, I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document. I represent and warrant that I am the minor’s parent or legal guardian.):

Date Of E-Signature:

Child #1

Name:

Gender:

Male Female

Date of Birth:

Grade As Of September 2025:

School:

Allergies:

Child Carries An Inhaler:

Yes No

Child Carries An Auto-Injector:

Yes No

Special Needs Or Concerns:

AWANA Clubs: Choose one (1) size larger than your child's current size.

Puggles Vest Size: 3T 4T 5T

Cubbies or Sparks Vest Size: Medium Large X-Large

T&T Shirt Size: Youth Medium Youth Large Youth X-Large Adult Small Adult Medium

Child #2

Name:

Gender: Male Female

Date of Birth:

Grade As Of September 2025

School:

Allergies:

Child Carries An Inhaler: Yes No

Child Carries An Auto-Injector: Yes No

Special Needs Or Concerns:

AWANA Clubs: Choose one (1) size larger than your child's current size.

Puggles Vest Size: 3T 4T 5T

Cubbies or Sparks Vest Size: Medium Large X-Large

T&T Shirt Size: Youth Medium Youth Large Youth X-Large Adult Small Adult Medium

Child #3

Name:

Gender: Male Female

Date Of Birth:

Grade As Of September 2025

School:

Allergies:

Child Carries An Inhaler: Yes No

Child Carries An Auto-Injector: Yes No

Special Needs Or Concerns:

AWANA Clubs: Choose one (1) size larger than your child's current size.

Puggles Vest Size: 3T 4T 5T

Cubbies or Sparks Vest Size: Medium Large X-Large

T&T Shirt Size: Youth Medium Youth Large Youth X-Large Adult Small Adult Medium

Child #4

Name:

Gender: Male Female

Date Of Birth:

Grade As Of September 2025:

School:

Allergies:

Child Carries An Inhaler: Yes No

Child Carries An Auto-Injector: Yes No

Special Needs Or Concerns:

AWANA Clubs: Choose one (1) size larger than your child's current size.

Puggles Vest Size: 3T 4T 5T

Cubbies Or Sparks Vest Size: Medium Large X-Large

T&T Shirt Size: Youth Medium Youth Large Youth X-Large Adult Small Adult Medium

Description

New Life Church
530 Big Spring Rd
New Cumberland, PA 17070

2025-2026 SUNDAY NURSERY AND NEW LIFE KIDS:

Children's Check-In for Sunday Nursery and New Life Kids classes begins at 10:15 am. Classrooms open at 10:15 am with classes beginning at 10:30 am.

2025-2026 WEDNESDAY AWANA CLUBS:

Awana Clubs meet on Wednesday evenings from 6:30 to 8 pm during the academic year.

Check-in begins at 6:15 pm in The Gathering Place.

All Clubs begin meeting with this year's Kick-Off Night on September 10th.

There is a Registration Fee of $20* per clubber up to a maximum of $60 for families with 3 or more children. The registration fee may be paid by check (made out to New Life Church with Awana on the memo line) or cash (exact amount only - change will not be available) at check-in.

*The registration fee covers: uniform, handbook, and all awards to be earned. If you would like more information, please contact the Awana Ministry Director, Amanda Geiman, at ageiman@nlcfamily.org or call / text at 717-938-4626.

When you have completed the registration form for your child(ren), be sure to scroll to the bottom and click on the "Submit" button and wait for the confirmation message.
Thank You!

NLC Children's Ministry Family Registration Form

Description

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