FM | Kids Ministry Registration 2021-22

* First Name

* Last Name

* Email

* Address

* Home Phone

* Parent/Guardian Name

* Parent/Guardian Phone #

Other Parent/Guardian Name

Other Parent/Guardian Phone Number

* Birth Date (mm/dd/yyyy)

* Age/Grade of child participating?

* Any allergy information we should be aware of?

* Are you planning on attending Wednesday night programming as well?

* Where would you be willing to serve this year in kids ministry?