Pre-Register for Kids Ministry

Please fill out all information. If you need fields for additional children, please submit form and then start a new form.

Parent Information

Enter information for the parent(s)/guardian(s) who will be bringing the child(ren) to church.

Parent First/Last Name

*

Phone

*

Email

*

Address

Parent First/Last Name

Email

Phone

Child 1 Information

Please fill out all fields for each child.

First/Last Name

*

Birthdate

*

Grade

*

Please select one option.

Infant Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Gender

*

Please select one option.

Male Female

Allergies

Child 2 Information

First/Last Name

Birthdate

Grade

Please select one option.

Infant Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Gender

Please select one option.

Male Female

Allergies

Child 3 Information

First/Last Name

Birthdate

Grade

Please select one option.

Infant Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Gender

Please select one option.

Male Female

Allergies

Child 4 Information

First/Last Name

Birthdate

Grade

Please select one option.

Infant Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Gender

Please select one option.

Male Female

Allergies

Description

Please fill out all information. If you need fields for additional children, please submit form and then start a new form.

Please Fix the Following

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