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CHILDRENS MINISTRY

REGISTRATION FORM

Please fill out this form if your child is in our Children’s Ministry

First Child's Name

DOB

Grade

Allergies?

Special Instructions / Anything you'd like us to know?

Second Child's Name

DOB

Grade

Allergies?

Special Instructions / Anything you'd like us to know?

Additional Children? Please add all info requested above in box below for each child.

Parent's/Guardian's Name(s)

Phone #1

(###)

###

####

Phone #1 Relationship

Phone #2

(###)

###

####

Phone #2 Relationship

Phone #3 (optional)

(###)

###

####

Phone #3 Relationship

Email

Mailing Address (for birthday cards)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

MAHALO!