Children’s Ministry Registration Form

We want to hear from you. Please let us know how we can pray for you, what ministry resources can help meet your needs, and how you might want to serve the Kingdom alongside us.

Child’s Name

*

Child's birthdate

*

Parent’s Email

*

This address will receive a confirmation email

Phone

*

Address

*

Parent Name

*

Does your child have any allergies?

Please select from the list below

*

Please select all that apply.

Nuts Dairy Gluten Fruit Bees/Wasps Grass Latex Any other allergies None

If you checked other, please explain.

Is there anything else we need to know about your child?

Please select from below.

Please select all that apply.

Has a medical condition that requires medication Autistic Hearing Impaired Wears Glasses Other None

If you checked other, please explain.

Description

We want to hear from you. Please let us know how we can pray for you, what ministry resources can help meet your needs, and how you might want to serve the Kingdom alongside us.

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