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Ministry Registration Form
Use this form to register your family for ministry events or to update your families information in our database.
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* Indicates required question
Email
*
Your email
Adult Household Member
Your answer
Birthdate
MM
/
DD
/
YYYY
Primary Phone/ PhoneType/Email
(This email will be used will be used for receiving all communication from the church)
Your answer
Consent to Text
yes
no
Clear selection
Adult Household Member
Your answer
Birthdate
MM
/
DD
/
YYYY
Primary Phone/ PhoneType/Email
(This email will be used will be used for receiving all communication from the church)
Your answer
Consent to Text
yes
no
Clear selection
Address
Your answer
Anniversary Date
MM
/
DD
/
YYYY
1-Child's Name
Your answer
Birthdate
MM
/
DD
/
YYYY
Grade and School
Your answer
Medical or Special Ed needs/Dietary & Allergy Concerns
Your answer
2-Child's Name
Your answer
Birthdate
MM
/
DD
/
YYYY
Grade and School
Your answer
Medical or Special Ed needs/Dietary & Allergy Concerns
Your answer
3-Child's Name
Your answer
Birthdate
MM
/
DD
/
YYYY
Grade and School
Your answer
Medical or Special Ed needs/Dietary & Allergy Concerns
Your answer
4-Child's Name
Your answer
Birthdate
MM
/
DD
/
YYYY
Grade and School
Your answer
Medical or Special Ed needs/Dietary & Allergy Concerns
Your answer
5-Child's Name
Your answer
Birthdate
MM
/
DD
/
YYYY
Grade and School
Your answer
Medical or Special Ed needs/Dietary Concerns
Your answer
6-Child's Name
Your answer
Birthdate
MM
/
DD
/
YYYY
Grade and School
Your answer
Medical or Special Ed needs/Dietary & Allergy Concerns
Your answer
List below the ministries your children will be involved in
Your answer
Is it OK to publish your child's photo?
Yes
No
Clear selection
Name & Number of adults authorized to pick up your children
Your answer
Name & Number of Emergency Contacts (other than parent)
Your answer
A copy of your responses will be emailed to the address you provided.
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