922 Kids - Bible Discovery Sign-Up
922 Kids Bible Discovery begins on Sunday, September 15 at 9:00 a.m. *All children ages 3 through Grade 4 are invited to attend. Children are welcome to start attending at any time throughout the school year. Non-members are welcome. Please submit this form one time PER CHILD that will be attending. Thank you! If you have questions, please feel free to reach out to any of the individuals listed below.

*All 3 year old children must turn 3 by September 30 in order to participate in this year's program, and they must be potty trained. If they are born after September 30, 2019 they must wait to enroll until the 2020 year to participate.

Mrs. Ashley Rubens - asvoight@gmail.com - (920) 585-3027 - Bible Discovery Coordinator
Mr. Jarrod Pfarr - jarrod.pfarr@922ministries.com - (920) 739-2009) - 922 Ministries, Director of Youth Development
Pastor Bill Monday - pastorbill@922ministries.com - (920) 739-2009 - 922 Ministries, Youth and Family Pastor

Child's Last Name *
Your answer
Child's First Name *
Your answer
Parent/Guardian Name(s) (Example: Carol Brady, Mother; Mike Brady, Father) *
Your answer
Street Address *
Your answer
City, State, Zip Code *
Your answer
Primary Phone *
Your answer
Cell Phone Number(s)
Your answer
Secondary Household Name Information (If applicable)
Your answer
Secondary Household Information (Street Address, City, State, Zip)
Your answer
Church Home Information *
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