| WELCOME Register Your Child Days to Attend Days to Attend Sunday Mornings Wednesday Nights One TIme VIsit Name Spouse Name Phone Spouse Phone Email Address Zip State Is Your Child Attending wIth Someone Other then the Parent? Is Your Child Attending wIth Someone Other then the Parent? Parents Grandparents Friend Neighbor Other Responsible Person's Name How Many Children How Many Children12345 Child 1 Name Child 1 Sex Child 1 DOB Child 1 Grade Child 1 Special Needs/Allergies Child 2 Name Child 2 Sex Child 2 DOB Child 2 Grade Child 2 Special Needs/Allergies Child 3 Name Child 3 Sex Child 3 DOB Child 3 Grade Child 3 Special Needs/Allergies Child 4 Name Child 4 Sex Child 4 DOB Child 4 Grade Child 4 Special Needs/Allergies Child 5 Name Child 5 Sex Child 5 DOB Child 5 Grade Child 5 Special Needs/Allergies Submit
