Refuge Kids Check-In

Your name *

Email address *

Name of oldest *

Date of Birth of oldest *

(DD/MM/YYYY)

May we take your child to the restroom or change their diaper?

If not, we will text you instead.

Phone number

Do they have any allergies?

If so, please list them below.

If in nursery/preschool:

My child is currently...

Is there anything we should know about your child?

If any additional children: please list them and their dates of birth (DD/MM/YYYY) below, alongside any allergies they may have. If in nursery/preschool, please also list whether they are potty trained, in training, or in a diaper.

Please also include anything we should know about them.

Would you be interested in serving in the Kids Ministry here at Refuge?

If yes, please check wherever you'd like to serve in.

Nursery - 6 weeks to 24 months

Preschool - 2 to Kindergarten

Elementary - 1st to 6th grade

Phone number *

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.