Grasslands Children Registration Form
Register Your Child For Sundays at Grasslands
Email address *
Child Name *
Your answer
Gender *
Birth Date *
MM
/
DD
/
YYYY
Current Grade in School *
Does this child have any allergies or special needs that the Trailblazers team should be aware of? *
Your answer
Home Address *
Your answer
Parent or Guardian *
Your answer
Relationship to Child *
Your answer
Mobile Phone *
Your answer
E-mail Address *
Your answer
Parent or Guardian (Optional)
Your answer
Relationship to Child
Your answer
Mobile Phone
Your answer
E-mail Address
Your answer
PHOTO RELEASE - I hereby give permission for my child to be included in,any photographs, video and/ or print material used in the promotion of Grasslands Church. *
Required
A copy of your responses will be emailed to the address you provided.
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