2016 - 2017 Program Year Registration
We want to make sure parents know about all of our programs offered for their children and youth. To make things easier, we have created one registration form for everything! Each child/youth will need to be registered separately, but the one registration form includes all programs.
Participant's Full Name
Your answer
Preferred Name
Your answer
Participant's Age
Your answer
Birth Date
mm/dd/yyyy
Your answer
Gender
Grade in School
*Children must be age 3 by September 1, 2016, to be in the 3 & 4-year-old Sunday School class.
What are you registering your child for?
Please Check all that apply
Address
Your answer
City, State & Zip Code
Your answer
Child's/Partipant's Email
If applicable
Your answer
Child's/Participant's Cell Phone
If applicable
Your answer
Allergies or other conditions we should be aware of:
Please type "none" if this question does not apply.
Your answer
Additional information you would like us to know about your child:
Your answer
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