Kids Church Registration Form

Kids Church is a fun and exciting way for preschool and elementary students to start exploring their relationship with Jesus! Each Sunday, children learn through the leadership of our adults, parents, and student leaders. Kids Church runs every Sunday from 9:30-10:30am.

Please help us prepare for your student by filling out the fields below!

Parent/Guardian Information

Your Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Emergency Contact (Name, phone & relation to child)

*

Do you give your permission for your child's photograph to be taken for use in church communications?

*

Please select one option.

Yes No

Type your name to act as a digital signature that you give permission for your child to attend Kids Church.

*

First Child

Child's Name (first & last)

Date of Birth

Grade Entering Fall 2022

Please select one option.

Pre K Kindergarten First Second Third Fourth Fifth

School District

Allergies/Special Needs

Second Child

Child's Name (first & last)

Date of Birth

Grade Entering Fall 2022

Please select one option.

Pre K Kindergarten First Second Third Fourth Fifth

School District

Allergies/Special Needs

Third Child

Child's Name (first & last)

Date of Birth

Grade Entering Fall 2022

Please select one option.

Pre K Kindergarten First Second Third Fourth Fifth

School District

Allergies/Special Needs

Description

Kids Church is a fun and exciting way for preschool and elementary students to start exploring their relationship with Jesus! Each Sunday, children learn through the leadership of our adults, parents, and student leaders. Kids Church runs every Sunday from 9:30-10:30am.

Please help us prepare for your student by filling out the fields below!

Please Fix the Following

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