Children's Worship Night, November 2018
You are registering for our Children's Worship Night on Friday, November 16 from 5:30 to 9:00 p.m. This program is for Children Prek4-5th grade. Contact Audra for more information, firstname.lastname@example.org.
* First Name
* Last Name
* Allergies / child notes
* Parent First Name
* Parent Last Name
* Mobile Phone
* Emergency Contact Name & Phone Number
* Child's Grade Level
Do you have other children to register for the nursery? 6 weeks through 4 years
If yes, please list their names and ages here
Add Another Person
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