Children's Summer Registration
Children's Registration for 2012
Children's Ministries programs are for ages 3-years and potty trained to 5th grade
Child's name*
Gender*
Activity*
AllSelected
  
  • Live BIG Sunday School, 11:00 am
  • VBS June 18-22
  • Sports Camp July 9-13
  • Dance Camp July 16-20
  • Club 45
Child's date of birth*
Age*
School grade for 2012/13*
T-shirt size
Parent name(s)*
Address*
City*
State*
Zip Code*
Contact phone number*
Contact Phone number
Emergency contact number*
Emergency contact is*
Email Address*
Home church*
Please type "none" if you have no church home.
Allergies or medical concerns
Permission to use child's picture in publications/website*