Please use this form to register a child with the CITC Children’s Ministry. A completed form is required for each child to attend, even for one day.  Thank you for helping us keep all of our Church In The City kids safe.

CITC Children's Ministry Registration

Please fill out this form if you plan to have a child (birth-6th grade) in the Church In The City Children's Ministry. A form must be filled out each year and before your child attends a class.
  • List child's allergies, dietary restrictions and dietary needs. If there are none, please state "none" to acknowledge and confirm there are none, to your knowledge.
  • 1st Parent or Guardian

    Please provide general information about first parent or legal guardian.
  • 2nd Parent or Guardian

    Please provide general information about second parent or legal guardian, if applicable.
  • Please list all individuals that are authorized to pickup your child and their relationship to child. If child is to be picked up by a sibling, the sibling must be at least 13 years of age and listed above.
  • Photograph Authorization

    By filling out the information below, you agree to authorize Church In The City, hereafter referred to as "Company," to publish photographs taken of yourself and/or the minor child(ren) listed below, and your names and likenesses, for use in Company print, online and video-based marketing materials, as well as other Company publications. You, hereby, release and hold harmless the Company from any reasonable expectations of privacy or confidentiality for yourself and for the minor child(ren) listed below associated with the images specified above. Further, you attest that you are the parent or legal guardian of the child(ren) listed below and that you have full authority to consent and authorize the Company to use their likeness and names. You further acknowledge that participation is voluntary and that neither you nor the minor child(ren) will receive financial compensation of any type associated with the taking or publication of these photographs or participation in Company marketing materials or other Company publications. You acknowledge and agree that publication of said photographs confers no rights of ownership or royalties whatsoever. You, hereby, release the Company, its contractors, its employees and any third parties involved in the creation of Company publications, from liability for any claims by you or any third party in connection with your participation or the participation of the minor child(ren) listed below.
    Please check box above if you refuse photograph consent. We will not publish or post any pictures with your child(ren)'s images.