This registration form is for children who have completed Kindergarten through 5th Grade by July 2019.

Pre-K & younger children may only be registered if a parent/caregiver is a volunteer.


Child's Name *
Child's Name
Child's Gender *
Child's Birthday *
Child's Birthday
Grade During 2018-2019 School Year *
Parent's Name — 1 *
Parent's Name — 1
Parent's Name — 2
Parent's Name — 2
Address *
Address
Mom's Phone Number
Mom's Phone Number
Dad's Phone Number
Dad's Phone Number
Caregiver's Phone Number
Caregiver's Phone Number
Home Church *
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone Number *
Emergency Contact Phone Number
Photography Consent