Kid's Ministry Registration 2025-2026
You can register multiple children for different programs in one single form. Please reach out to Emily with any questions or concerns! Thank you!
Parent's Name
*
Parent #2's Name
Child's Name
*
Child's Birthdate
*
Child's Current Grade
*
Second Child's Name
Second Child's Birthdate
Second Child's Current Grade
Third Child's Name
Third Child's Birthdate
Third Child's Current Grade
Any Special Concerns? (Allergies, medicines, learning, etc.)
Fourth Child's Name
Fourth Child's Birthdate
Fourth Child's Current Grade
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Parent Email
*
This address will receive a confirmation email
Other Parent Email
This address will receive a confirmation email
Phone
*
PHOTO RELEASE: I hereby give permission for images of my child, captured through video and photos, to be used for promotional material and publications, in print or online.
*
Please select all that apply.
Yes
No
Any Additional Information or Questions?
Submit
Description
You can register multiple children for different programs in one single form. Please reach out to Emily with any questions or concerns! Thank you!
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