Step 1 of 7 14% Please fill out all that is applicable.Father's Name First Last ID# Mother's Name First Last ID# Home Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Complex (if you reside on campus) Home PhoneFather's Cell Phone #Mother's Cell Phone #Father's Email Mother's Email Language(s) spoken in your home Child's Name First Last Child's Birthdate Month Date Year Allergies Special Needs (Physical or other) Child's Name First Last Child's Birthdate Month Date Year Allergies Special Needs (Physical or other) Child's Name First Last Child's Birthdate Month Date Year Allergies Special Needs (Physical or other) Do you have any prayer requests for your child(ren) this semester?Is there anything else we should know about your child(ren)? Parent Class/Work Schedule *You are responsible to let your child’s teacher know if there are any changes to the following information. We need to know where you are at all times so we may contact you in case of an emergency. Father: Monday / Wednesday / Friday 1st Period Class Lecturer Location 2nd Period Class Lecturer Location 3rd Period Class Lecturer Location Tuesday / Thursday1st Period Class Lecturer Location 2nd Period Class Lecturer Location 3rd Period Class Lecturer Location Student Ministry Location: If not a student: Business Name Business Phone Work Schedule Supervisor I do not work outside the home Father: Monday / Wednesday / Friday 1st Period Class Lecturer Location 2nd Period Class Lecturer Location 3rd Period Class Lecturer Location Tuesday / Thursday1st Period Class Lecturer Location 2nd Period Class Lecturer Location 3rd Period Class Lecturer Location Student Ministry Location: If not a student: Business Name Business Phone Work Schedule Supervisor I do not work outside the home Parent Commitment Form Every teacher in the Preschool has been prayerfully handpicked, and has shown a strong commitment to the Lord and to the Children’s Ministry. We want your children to receive the very best care while under our supervision. In order to have peace and order, we must have boundaries and rules that are enforced. In the preschool, children are surrounded with love, praise and personal instruction. If a child does not respond to verbal correction, a short period of separation in the ‘Time-Out Chair’ will be tried. If this measure does not work or it seems appropriate to the teacher, we will call the parent to discipline their child. Agreement Please check each line I/we have completely read the rules, policies and procedures explained in the CFN Preschool Handbook. I/we agree to abide by and support the preschool staff in enforcing the CFN Preschool rules, policies and procedures. I/we will encourage our child(ren) to respectfully obey the rules of the preschool. I/we will support the teachers and come to discipline our child(ren) if requested. I/we have completely filled out and returned the following forms: Enrollment Parent’s Class/Work Schedule Parent’s Commitment Minor Release I/we will turn in the required supplies by the required date. Immunization records are up to date. Signature of Father (Type Full Name) Father's Date of Signing: Signature of Mother (Type Full Name) Mother's Date of Signing: Christ For The Nations Preschool reserves the right to approve or reject any application STATE OF TEXAS COUNTY OF DALLASChrist for the Nations, Inc. Children’s and Family Ministries MINOR RELEASE FORMI, hereby affirm and agree that I am the parent or legal guardian of the child/ren named below (“Minor”); that I am legally competent to sign this agreement and release; that I have fully informed myself of this agreement by reading it before signing; and that I have fully informed myself of the details and risks of the Activity prior to signing this release. In consideration of Christ for the Nations, Inc. enrolling the minor/s named herein in Christ for the Nations, Inc. Preschool and/or Children’s Church and/or Breakthrough 567 and/or BreakOut and/or Children’s Recreational Activities and Field Trips, and/or Conferences, including, but not restricted to, swimming, picnics, games, sports, etc., the undersigned persons voluntarily and knowingly execute this Release with the express intention of effecting a full and complete Release and discharge as herein set out. The undersigned persons, with the intentions of binding themselves, their spouses, and their heirs, legal representatives, and assigns, expressly release and discharge Christ For The Nations, Inc and Christ For The Nations Institute, its agents and employees from all claims, demands, action, judgments, and executions that they may have had, have now, and may have, or that anyone claiming through or under they may have or claim to have against Christ for the Nations, Inc., CFNI it’s agents and employees created by or arising out of their child’s contact either directly or indirectly, with real or personal property of Christ for the Nations, Inc. This release includes all risks and liabilities connected with the activity, whether foreseen or unforeseen. In the event that Minor (s) is injured during the Activity, and I am unable to provide consent to his or her medical treatment, I authorize Christ For the Nations Inc. to consent on my behalf to the performance of any and all medical treatment judged necessary by the ministry, until I am able to provide consent or until someone legally able to speak on the Minor’s behalf is made available. I agree, individually and on behalf of Minor, to release, indemnify, and hold Christ for the Nations, Inc. harmless from any liability which may be assessed against Christ for the Nations, Inc. as a direct or indirect result of said medical treatment. I agree to pay or arrange for payment for all costs associated with said medical treatment. CFNI Children’s Ministries will take photographs and/or video to use for promotional purposes. If you have reason to not have your child appear in such promotions, please attach a letter of request to this form. Minor's Name Minor's Name Minor's Name Minor's Name Minor's Name Minor's Name Parent Name (type to sign) Parents date of signing Witness (type to sign) Witness date of signing