Explorer Registration
This form enrolls up to 3 children, ages newborn to K5, in the Explorers Ministry. For additional registration, please complete this form a second time. For Mothers Compass Registration, please complete the separate online form.
Mother's Name *
Your answer
Mother's Cell Phone *
for childcare needs only
Your answer
Emergency Contact *
Please provide the full name and phone number of an emergency contact other than the Mother.
Your answer
#1 Child Registration: NAME *
OLDEST Child Registering for Compass
Your answer
#1 Child REGISTRATION Date of Birth *
Ex: 10/03/2012
Your answer
#1 Child Registration: MEDICAL *
Allergies (and to what) and other medical conditions
Your answer
#1 Child Registration: SPECIAL NEEDS
If this child has special needs, please explain in the space below
Your answer
#2 Child Registration: NAME
Second Oldest Child Registering for Compass
Your answer
#2 Child REGISTRATION Date of Birth
Ex: 10/03/2012
Your answer
#2 Child Registration: MEDICAL
Allergies (and to what) and other medical conditions
Your answer
#2 Child Registration: SPECIAL NEEDS
If this child has special needs, please explain in the space below
Your answer
#3 Child Registration: NAME
Youngest Child Registering for Compass
Your answer
#3 Child REGISTRATION Date of Birth
Ex: 10/03/2012
Your answer
#3 Child Registration: MEDICAL
Allergies (and to what) and other medical conditions
Your answer
#3 Child Registration: SPECIAL NEEDS
If this child has special needs, please explain in the space below
Your answer
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