Central Park Church Registration 2019-2020
Please register each of your children separately.
Your Child's Personal Information
What program are you registering this child for? *
(choose from the drop down menu)
Your Child's First Name *
Your answer
Your Child's Last Name *
Your answer
Gender *
Required
Child's Address *
use this format: 614 Myrtle Avenue Holland, MI 49423
Your answer
Cell Phone Number
this would be the students personal cell phone number
Your answer
Email Address
this would be the students personal email address
Your answer
Birth Month *
Birth Day *
*
Birth Year
School *
Your answer
Grade *
Next
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