Nursery Registration Please register your child's information for our nursery records. Full Name* Nickname or Chosen name* Birthdate* Church Affiliation (if any) Allergies or special concerns*Parent(s) Name (or Guardian)* Home Address* Home Phone Cell Phone Emergency Phone* Email Address* Parent or Guardian location in building*May we have permission to photograph you and your child and publish photos on our digital media?* Yes No Back to Children’s ministry page.