Shift Kids New Family Questionnaire

We're very excited to have you and your kids as a part of the Shift Kids family! Please help us get to know your family better and fill out the information below. This will make checking in on Sunday much faster!
Questions? E-mail: office@discovertheshift.com

Parent #1

First Name

Last Name

Phone Number

Email

Parent #2

First Name

Last Name

Phone Number

Email

Family Mailing Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Child's First Name

Child's Last Name

Gender

Birthdate

Grade

Allergies / Medical Notes

Photo Consent

By signing below I give Shift Kids permission to take photos/videos of my children for use in printed and online publicity. I grant full rights to The Shift Church to use the images resulting from the photography or video filming, and any reproductions or adaptations of the images for publicity. The might include (but is not limited to), the right to use them in printed/online publicity and social media.

Signature

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