Children's Ministry Registration
Age *
Your answer
Child's Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Parent's Name *
Your answer
Parent's Cell Number 1 *
Your answer
Parent's Cell Number 2
Your answer
Baptized *
Potty Trained *
Allergies *
Your answer
Medications
Your answer
Special Instructions:
Your answer
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