Family Name (required)
 

Address (required)
 

Phone Number (required)
 

Email (required)
 

Mother’s Name
 

Father’s Name
 

Location your children will attend most often:  Downtown Campus Family Center Campus

List each child’s name, age, and grade:
(Age 3 – Grade 8; children must be 3 by September 1)

Name  DOB  Age  Grade 

Name  DOB  Age  Grade 

Name  DOB  Age  Grade 

Name  DOB  Age  Grade 

Name  DOB  Age  Grade 

Name  DOB  Age  Grade 

Please list any special needs of which we should be aware:

How you can get involved!

Please prayerfully consider how you can serve in this important ministry. Training will be provided. Please mark your preference here: Teach Puppet Substitute Assist

Name 

Phone Number 

Email 

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