Kids' Program Registration!

Register your child(ren) here for Sunday School, Cadets, and/or GEMS! Register ONCE for any or all of the three programs in which your child will be involved.

Registration Form
*Last Name:
*Phone Number:
*Email Address:
*Name of Parent(s):
*Street Address:
*Zip Code:
*I am registering Child 1 for the following:

*Child 1 Name:
*Child 1 Grade Entering:
*Child 1 School Attending:
*Child 1 Birthday (mm/dd/yy):
I am registering Child 2 for the following:

Child 2 Name:
Child 2 Grade Entering:
Child 2 School Attending:
Child 2 Birthday (mm/dd/yy):
I am registering Child 3 for the following:

Child 3 Name:
Child 3 Grade Entering:
Child 3 School Attending:
Child 3 Birthday (mm/dd/yy):
I am registering Child 4 for the following:

Child 4 Name:
Child 4 Grade Entering:
Child 4 School Attending:
Child 4 Birthday (mm/dd/yy):
Please list any special needs: allergies, etc. Please specify child's names after each allergy/need:
*Emergency Contact (Name and Phone #):
Comments (optional):