Children & Youth Ministry Registration 2018-19
Please fill out and submit the form below. Add additional children checking the box at the bottom to expand the rows. You will receive a confirmation email when complete. Contact Sara Dyson at sara@abidingpresence.net if you have any questions.
Parent Guardian 1 *
First and last name
Your answer
Parent Guardian 2
First and last name
Your answer
Email address *
Your answer
alternate email address
Your answer
Address *
Your answer
Phone *
Your answer
Phone 2
Your answer
Phone 3
Your answer
Registration
(enter first child below)
Name *
First and last name
Your answer
Birth Date
MM
/
DD
/
YYYY
Age *
Grade *
Name of School
Your answer
Allergies or health concerns
Your answer
Other information
Please list things that upset your child, activities s/he does not like to participate in or other helpful information for you child's teacher to know
Your answer
I'd like to register my child for: *
Required
Additional children
Register second child?
Next
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