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Parent's First Name
Parent's Last Name
Street
City
Phone Number
Email (optional for confirmation)
Registered Child 1
Full Name
Age
Special Needs
Please specify any allergies or special needs here.
Registered Child 2
You will be contacted either by phone or e-mail to confirm your child's registration. If you have not been contacted within three days please call the church or re-register your child. If you are registering more than two children, simply come back to this page and resubmit the other children. Thank you.
Please note that we do not sell or share any information provided on this form.
