Children's Ministry Registration
Seven Mile Road Church
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Current Grade of Child *
Father's First Name
Your answer
Father's Last Name
Your answer
Father's Cell Phone
Your answer
Father's email
Your answer
Mother's First Name
Your answer
Mother's Last Name
Your answer
Mother's Cell Phone
Your answer
Mother's email
Your answer
Are there any special needs you would like us to know about your child? Allergies, etc.
Your answer
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