Children's Ministry Registration

This Children's Ministry Registration is for all Sunday morning ministries for children from birth through 5th grade.  This includes the Nursery, Children's Church, and classes. 

Welcome to Lake Community Church.   We are glad you are here.  We want you to know that we care about the safety and security of your child.  Thank you for filling out the following form that provides the necessary information.  

Checkbox *
Tell us about your family
Primary Parent *
Primary Parent
Address *
Address
Phone *
Phone
Additional Parent
Additional Parent
Address (if different from above)
Address (if different from above)
Phone
Phone
Would you consider serving in one of the following areas. Check and areas that may apply and one of our Children's Ministry Leaders will follow up with you. *
Child # 1 *
Child # 1
Gender *
Date of Birth *
Date of Birth
Child # 2
Child # 2
Gender
Date of Birth
Date of Birth
Child # 3
Child # 3
Gender
Date of Birth
Date of Birth
Child # 4
Child # 4
Gender
Date of Birth
Date of Birth