EBC Kids Sunday Program Registration
For children, birth to age 12, participating in our Sunday morning Kid's Ministry Program at Emmanuel Baptist Church.
Parent/Guardian 1 First & Last Name *
Your answer
Address (1) *
Your answer
Email (1)
Your answer
Are you interested in receiving information/updates about EBC Kids through email? (1)
Home Phone Number (1)
Your answer
Mobile Phone Number (1)
Your answer
Relationship to Child(ren) (1) *
Parent/Guardian 2 First & Last Name
Your answer
Address (2)
(leave blank if same as above)
Your answer
Email (2)
Your answer
Are you interested in receiving information/updates about EBC Kids through email (2)?
Home Phone Number (2)
Your answer
Mobile Phone Number (2)
Your answer
Relationship to Child(ren) (2)
Child's Name (1) *
Your answer
Child's Date of Birth (1) *
(dd/mm/yyyy)
Your answer
Child's Grade (1)
(leave blank if not applicable)
Your answer
Child's Gender (1) *
Allergies/ Medical Conditions (1)
Your answer
Other information about your child (1)
Your answer
Which class do you feel would best suit your child? (1)
Please note that we intend to place your child in the class that best suits his/her needs
Are there additional children you need to register? *
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