Mount Airy Bible Church
Program Registration Form
Register today for Treasure Cove.
Treasure Cove is available for children from three years of age to fifth grade.
Child's Name *
Your answer
Child's Birthday *
MM
/
DD
/
YYYY
Child's Age *
Child's Gender *
Child's Grade *
Child's Allergies *
Your answer
Child's Siblings *
Your answer
Preferred Worship Service *
Required
Preferred Pick Up *
Required
Parent (Guardian) Name *
Your answer
Parent (Guardian) Cell *
Your answer
Parent (Guardian) Email *
Your answer
Approved Adults: Pick Up *
Please include name of adult and relationship to child
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Mount Airy Christian Academy. Report Abuse - Terms of Service