CBC Kids Ministry Registration

Please fill out this form and click submit.

Program registration

Please register my children for the following (check all that apply)

Please select all that apply.

AWANA Clubs - Wednesday 6:30pm-8pm (ages 2 years - 5th grade) Sunday School - Sundays 9:45am-10:45am (babies - 5th grade) JAM - Sundays 11am (babies - 5 years old) Other

If "Other" please specify:

About the Family

Full Name Parent/Guardian 1

Phone of Parent/Legal Guardian 1

Full Name Parent/Legal Guardian 2

Phone of Parent/Legal Guardian 2

Address

Family Email

This address will receive a confirmation email

About the Children

Fill out the information for each child individually.

Child Full Name

Date of Birth

Age

Please select one option.

under 1 1 2 3 4 5 6 7 8 9 10 11 12

Grade

Please select one option.

Under school Agg Preschool Kindergarden 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Allergies

Additional Child

Fill out the information for each child individually.

Child Full Name

Date of Birth

Age

Please select one option.

Under 1 1 2 3 4 5 6 7 8 9 10 11 12

Grade

Please select one option.

Under School Age Preschool Kindergarden 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Allergies

Additional Child

Fill out the information for each child individually.

Child Full Name

Date of Birth

Age

Please select one option.

Under 1 1 2 3 4 5 6 7 8 9 10 11 12

Grade

Please select one option.

Under School Age Preschool Kindergarden 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Allergies

Additional Child

Fill out the information for each child individually.

Child Full Name

Date of Birth

Age

Please select one option.

Under 1 1 2 3 4 5 6 7 8 9 10 11 12

Grade

Please select one option.

Under School Age Preschool Kindergarden 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Allergies

Permissions

Other ADULTS allowerd to pick up my children.

Adult #1 Full Name

Adult #1 Phone number

Adult #2 Full Name

Adult #2 Phone number

Description

Please fill out this form and click submit.

CBC Kids Ministry Registration

Description

Please Fix the Following