Street and City
Parent's Phone *
Parent's Phone
Emergency Contact Phone *
Emergency Contact Phone
List child's name and allergies/medical conditions.
Use of Photograph *
We understand that some families prefer to keep their child's image off the internet. Daily photos may be posted on our church Facebook as we celebrate what God is doing in our midst. However, we will only post photos with a legal guardian's permission. Please indicate your preference below.
Please list all children attending and year of birth so that we can place them in the correct class.