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. 

Primary Parent Information *
Primary Parent Information
Address *
Address
Phone *
Phone
Alternate Parent Information
Alternate Parent Information
Address (if different from above)
Address (if different from above)
Phone
Phone
Would you be willing to help serve in some capacity? Check the ones that may apply.
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