Please fill out the Child/Youth online registration form for each child in grades K-12 or print a pdf copy of the form, fill it out, and return it to our This email address is being protected from spambots. You need JavaScript enabled to view it..

NOTE: If you'd like to register a child for the Nursery, please go HERE.


(*)'d items are required.

Parent/Guardian Name(s) (*)

Please enter a valid parent/guardian name
Address (*)

Please enter a valid address.
Home Phone (xxx-xxx-xxxx) (*)

Please enter a home phone number in the format xxx-xxx-xxxx
Cell Phone (xxx-xxx-xxxx)

Please enter a phone number in the format xxx-xxx-xxxx
Email (*)

Please enter a valid email address
Email 2

Please enter a valid email address
I give permission for my child's photos/work to be used in: (*)




Please fill in Publicity Permissions
Add me to the church mailing list (*)

Please choose Yes or No

======================= FIRST CHILD INFORMATION =======================

Child's Name

Please enter child's name
Date of Birth

Please enter date of birth
Age

Please enter age
Grade

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Sex

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Allergies, concerns, and/or special needs

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========================= SECOND CHILD INFORMATION =========================

Child's Name

Please enter child's name
Date of Birth

Please enter date of birth
Age

Please enter age
Grade

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Sex

Please enter child's sex
Allergies, concerns, and/or special needs

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======================= THIRD CHILD INFORMATION =======================

Child's Name

Please enter child's name
Date of Birth

Please enter date of birth
Age

Please enter age
Grade

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Sex

Please enter child's sex
Allergies, concerns, and/or special needs

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========================= FOURTH CHILD INFORMATION =========================

Child's Name

Please enter child's name
Date of Birth

Please enter date of birth
Age

Please enter age
Grade

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Sex

Please enter child's sex
Allergies, concerns, and/or special needs

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Additional Comments

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