Kid's Ministry CHECK-IN (General Registration Form)
First & Last Name
*
Parent /Guardian
*
Parent
Guardian
Parent/Guardian DOB
Parent/Guardian Phone Number
*
Parent/Guardian Email Address
Mailing Address
*
How many child(ren) will be attending?
Please list each child's First & Last Name, DOB, Gender, Age, & Grade currently in:
Any Allergies or Special Needs:
*
Any additional information or questions you have:
Who else is allowed to pick-up the child(ren)? First & Last name:
*
Submit