The House Slidell - House Kidz Registration

LOVE GOD - LOVE PEOPLE

We believe that kids should have a blast at church every single week - and at House Kids, we make this a priority. The other thing we make a priority is your children’s safety and security.

Because of that, we have a detailed check-in process for our Planet Kids program the first time that you visit. In order to make your arrival as easy as possible, simply fill out and submit this form and someone will contact you before you arrive. See you soon!

House Kids Pre-Registration Form

Please feel free to contact us if you need assistance.

What brings you to The House this weekend?
Looking For A New Church
Just Visiting
On Vacation

Parent Information

Guardian #1 First Name

Last Name

Relationship to Child(ren)
Parent
Grand Parent
Relative
Legal Guardian

Phone Number

Address 1

Address 2

Country

City

State

Zip/Postal Code

Guardian #2 First Name (If Applicable)

Last Name

Relationship to Child(ren)
Parent
Grand Parent
Relative
Legal Guardian

Phone Number

Email Address

Address 1

Address 2

Country

City

State

Zip/Postal Code

Child(ren) Information

Child #1 First Name

Last Name

Gender
Male
Female

Date of Birth

Allergies or Medical Condition
Yes
No

If YES, Please explain...

Child #2 First Name

Last Name

Gender
Male
Female

Date of Birth

Allergies or Medical Condition
Yes
No

If YES, Please Explain...

Child #3 First Name

Last Name

Gender
Male
Female

Date of Birth

Allergies or Medical Condition
Yes
No

If YES, Please Explain...

Child #4 First Name

Last Name

Gender
Male
Female

Date of Birth

Allergies or Medical Condition
Yes
No

If YES, Please Explain...

Trusted Person #1 (Check In Check Out Purposes Only)

First Name

Last Name

Relationship
Relative
Family Friend

Phone Number

First Name

Last Name

Relationship
Relative
Family Friend

Phone Number

If during any part of the children's service / program, medical attention is required by my child, The House will provide appropriate first-aid treatment, contact the guardian and stay with the child until the guardian collects them. Medical care above and beyond this plan is my responsibility as the guardian. I authorize the leader in charge to take such actions as may be necessary, including the calling of an ambulance and treatment by paramedics.

I Agree
Yes
No

Digital Signature of Registering Parent

First Name

Last Name