HalfTime Registration
Welcome to registration for HalfTime: KidsServe mid-week ministry! Invite your friends and neighbors and join us for a great time exploring and learning the Bible, and fun and active games.

HalfTime begins on Wednesday, September 26th at 6:10pm with the evening wrapping up at 7:30pm in the Great Room. Parents are welcome to join us! HalfTime is for ages 4 years through 5th grade. Please fill out a separate registration for each child who will be attending HalfTime.

In addition to HalfTime each Wednesday evening there is a LifeServe Group (for parents/guardians) and Youth Group (students 6th - 12th grade) that meet during the same time. Parents, guardians and youth are welcome to join their respective groups!

If you will be attending the LifeServe Group and are interested in utilizing the Child Care please note that on the form below with the age of each child under 4 you wish to register for the care.

HALF-TIME: KidsServe
Child's First Name: *
Your answer
Child's Last Name: *
Your answer
Date of Birth: *
Your answer
Age: *
Your answer
Current Grade: *
Your answer
Child is: *
Parent/Guardian(s) Name: *
Your answer
Mailing Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
Cell Phone: *
(no spaces or hyphens required)
Your answer
Home Phone:
(if different from cell phone)
Your answer
Parent/Guardian Email Address *
Your answer
Emergency Contact Name: *
(in the event parent/guardian cannot be reached)
Your answer
Emergency Contact Phone Number: *
(in the event parent/guardian cannot be reached)
Your answer
Health Status: *
Details regarding health status that you would like us to know about:
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service