Welcome! We’re glad you’re here.

We work to make sure every child at IWC is safe and well-cared for. To that end, please fill out the form below for each one of your children that you’ll be checking in to any kids’ classes or the nursery today.

New Child Check-In

Primary Contact Parent's Name

First Name

Last Name

Primary Contact Parent's Phone Number

If we need to contact you during the service regarding your child, we'll use this number.

(###)

###

####

Child's First Name (Include last name if different from parent contact)

Is there anyone else volunteers are allowed to release your child to? List their names

Does your child have any allergies?

Snacks are often provided in the nursery, and occasionally in children's church. If you have any concerns, please speak to a volunteer.

Do you allow IWC volunteers to change your child's diaper/take them to the bathroom?

All our volunteers are background-checked according to Pennsylvania law for work with children.

Yes

No

Any special care instructions for this child?

Welcome! We’re glad you’re here.

New Child Check-In

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