Nursery Entry Form

Thank you for visiting Gospel Fellowship. We hope that the nursery will be of benefit to you and your children. All of our nursery workers have their PA state clearances on file in the church office and our toys are cleaned weekly to help keep everyone safe and healthy.

Child's Information

Child's Name

*

Age

*

Please select one option.

Newborn 1 yr 2 yr

Date of Birth

*

Guradian's Information

Guardian's Name

*

Relationship to child

*

Please select one option.

Parent Grandparent Other

If other, what is your relationship to the child?

Phone

*

Email

*

This address will receive a confirmation email

Address

*

Please list any alergies your child has.

*

How long should volunteers allow child to cry before getting parent(s)?

*

Which Snack is allowed?

*

Please select one option.

Cheerios Goldfich None Any

Please provide any other information that might be helpful for us to know

Description

Thank you for visiting Gospel Fellowship. We hope that the nursery will be of benefit to you and your children. All of our nursery workers have their PA state clearances on file in the church office and our toys are cleaned weekly to help keep everyone safe and healthy.

Please Fix the Following

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