Kids Ministry Registration Form
Please complete the following information to register your child for Kids Ministry programming at Oak Hills Baptist Church. Please submit one registration per child.
Child's First Name: *
Your answer
Child's Last Name: *
Your answer
Address: *
(complete street address please)
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
Birth Date: *
(month-day-year)
Your answer
Age: *
Your answer
Grade entering fall of 2019: *
Your answer
Student's Gender: *
Parent/Guardian Name *
Your answer
Parent / Guardian Phone Number *
Your answer
Parent / Guardian Email Address *
Your answer
Secondary Parent / Guardian Name
Your answer
Secondary Parent / Guardian Phone Number
Your answer
I am registering my child for: *
Required
Health Status: *
Required
Please give us any health details that you think would be helpful including details from above questions.
Your answer
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