Pre-Register Your Child for Rise Kids
Make your first visit to Valley Rise Church easier by pre-registering your child online before you arrive. Online registration must be completed no later than Saturday at 9 PM in order to be processed for Sunday Services.
Your Name *
Your answer
Your Email *
Your answer
Your Gender *
Your Date of Birth *
MM
/
DD
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YYYY
Your Relationship to the Child(ren) *
Your answer
Your Address *
Your answer
Your Cell Phone Number *
Your answer
Additional Information
Spouse Information (If Applicable)
Marital Status
Spouse Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Spouse Phone
Your answer
First Child
Name *
Your answer
Age *
Your answer
Grade *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Any Allergies or Special Conditions? *
Your answer
Second Child
Name
Your answer
Age
Your answer
Grade
Your answer
Date of Birth
MM
/
DD
/
YYYY
Gender
Any Allergies or Special Conditions?
Your answer
Third Child
Name
Your answer
Age
Your answer
Grade
Your answer
Date of Birth
MM
/
DD
/
YYYY
Gender
Any Allergies or Special Conditions?
Your answer
Are there any custody issues we should know about? *
Your answer
For safety purposes, I understand that I must present the security claim tag assigned to me or a valid photo ID in order to obtain my child from Rise Kids/Preschool once they are checked in. *
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