New Child Participant Form

Northwest Church cares for each child in our NorthwestKIDS Unlimited ministry and we want to provide the best experience and safest environment for everyone involved. For that purpose we ask that you complete this form to the best of your ability, prior to checking your child into NorthwestKIDS Unlimited. Our church and NorthwestKIDS Unlimited leaders respect your family’s right to privacy. Any information shared from this form is communicated directly with those caring for your child and only on a “need to know” basis. Please answer the below questions that apply to your child and that may help our church best minister to your child.


I have read this intake form and verify that the information is true. By placing my name below I agree to this being considered the same as my legal signature.*