Spring Peeps Registration
Welcome to the Spring peeps children registration form. This form helps us keep your children organized in a safe environment. Please fill out all the information and submit. This form is secure and viewed only by Joe Surin, our children's ministry director and our registered staff. Thanks and welcome!
Parent/Guardian Information
Contact Type
First Name
Your answer
Last Name
Your answer
Status
Address
Your answer
Phone Type
Phone Number
Your answer
Email
Your answer
Second Contact Type (Permission to Release)
Second Contact
Second Contact Name
Your answer
Second Contact Phone Number
Your answer
Child Information
Fill in as many as applicable. Submit when complete.
Child 1 Name
Your answer
Birthday
MM
/
DD
/
YYYY
Grade
Your answer
Gender
Alleries/Special Instructions
Your answer
Second Child Information
Child 2 Name
Your answer
Birthday
MM
/
DD
/
YYYY
Grade
Your answer
Gender
Alleries/Special Instructions
Your answer
Third Child Information
Child 3 Name
Your answer
Birthday
MM
/
DD
/
YYYY
Grade
Your answer
Gender
Alleries/Special Instructions
Your answer
Fourth Child Information
Child 4 Name
Your answer
Birthday
MM
/
DD
/
YYYY
Grade
Your answer
Gender
Alleries/Special Instructions
Your answer
Fifth Child Information
Child 5 Name
Your answer
Birthday
MM
/
DD
/
YYYY
Grade
Your answer
Gender
Alleries/Special Instructions
Your answer
Sixth Child Information
Child 6 Name
Your answer
Birthday
MM
/
DD
/
YYYY
Grade
Your answer
Gender
Alleries/Special Instructions
Your answer
Thank You!
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