Family Ministry Parent/Guardian Info
We're excited to welcome your child to our Wednesday night programs!
Please enter your contact information below. If you would like to add a second parent/guardian, click
ADD A PERSON
.
Click
CONTINUE
to register your child.
Our staff are happy to answer any questions:
Grades 1-4 Director:
ldeboer@covenantpalmbay.org
Grades 5-8 Director:
jmorse@
covenantpalmbay.org
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Parent/Guardian
First Name
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Parent/Guardian
Last Name
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Parent/Guardian
Email
Parent/Guardian
Address
Parent/Guardian
Address 2 (Apt/Suite # etc.)
Parent/Guardian
City
Parent/Guardian
State/Province
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Zip/Postal Code
Parent/Guardian
Home Phone
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Parent/Guardian
Mobile Phone
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