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Children’s Ministry Pre-Registration
Heather Cook
2019-05-29T15:00:16-07:00
Kids Ministry Pre-Registration
Mom's Name
First
Last
Dad's Name
First
Last
Parent Email
*
Primary Phone
*
Child's Name
*
First
Last
Male
Female
Child's Date of Birth
Date Format: MM slash DD slash YYYY
Child's Current Grade
4mo-Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
Allergies or Special Needs?
*
Yes
No
If yes, please describe...
Add Additional Children
Child's Name
First
Last
Male
Female
Child's Date of Birth
Date Format: MM slash DD slash YYYY
Child's Current Grade
4mo-Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
Allergies or Special Needs?
Yes
No
If yes, please describe...
Add Additional Children
Child's Name
First
Last
Male
Female
Child's Date of Birth
Date Format: MM slash DD slash YYYY
Child's Current Grade
4mo-Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
Allergies or Special Needs?
Yes
No
If yes, please describe...
Add Additional Children
Child's Name
First
Last
Male
Female
Child's Date of Birth
Date Format: MM slash DD slash YYYY
Child's Current Grade
4mo-Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
Allergies or Special Needs?
Yes
No
If yes, please describe...
Add Additional Children
Child's Name
First
Last
Male
Female
Child's Date of Birth
Date Format: MM slash DD slash YYYY
Child's Current Grade
4mo-Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
Allergies or Special Needs?
Yes
No
If yes, please describe...
Do you agree to allow photos/videos of your child to be used in church presentation or church promotional materials?
*
Yes
No