Family Registration
Help us get to know you! This information allows us to better serve your family in our ministry.
Adult/Guardian Info
*
First Name
Last Name
Relationship to Child
*
Please Select
Mother
Father
Grandparent
Other
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Current school district
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Family Position:
*
Please Select
Head
Spouse
Other
Marital Status
*
Please Select
Single
Married
Widowed
Engaged
Separated
Divorced
Adult/Guardian 2 (Any other adult living at same address)
First Name
Last Name
Family Position:
Please Select
Head
Spouse
Other
Relationship to child
Please Select
Mother
Father
Grandparent
Other
Date of birth
-
Month
-
Day
Year
Date
Phone Number
Please enter a valid phone number.
Email
example@example.com
Would you like to speak to a Ginghamsburg Kids Specialist?
*
Please Select
Yes
Not needed
Which campus will you be primarily attending?
*
Please Select
Fort McKinley Campus
Tipp City Campus
Online
Back
Next
Let's talk kids!
We want to know about your child! This helps us get to know them and assist in making them feel comfortable in a new environment!
Kid 1
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Current age/grade
*
Please Select
0-12 months
13-23 months
24/2 years old
3 years old
4 years old
5 years old
Kindegarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
I give consent for my child's photo to be taken. Photos may be used on social media and/or marketing/advertisement!
*
Please Select
Yes
No
Does your child have any allergies we should know about?
*
Please Select
Yes
No
If yes, please let us know
Back
Next
Do you have any other kids you would like to add?
If you have no other kids to register, please scroll down and submit.
Kid 2
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Gender
Male
Female
Current age/grade
Please Select
0-12months
13-23months
24months-Toddler
3 years old
4 years old
5 years old
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
I give consent for my child's photo to be taken. Photos may be used on social media and/or marketing/advertisement!
Please Select
Yes
No
Does your child have any allergies we should know about?
Please Select
Yes
No
If yes, please let us know
Kid 3
First Name
Last Name
Gender
Male
Female
Date of Birth
-
Month
-
Day
Year
Date
Current age/grade
Please Select
0-12months
13-23months
24months-Toddler
3 years old
4 years old
5 years old
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
I give consent for my child's photo to be taken. Photos may be used on social media and/or marketing/advertisement!
Please Select
Yes
No
Does your child have any allergies we should know about?
Please Select
Yes
No
If yes, please let us know
Kid 4
First Name
Last Name
Gender
Male
Female
Date of Birth
-
Month
-
Day
Year
Date
Current age/grade
Please Select
0-12months
13-23months
24months-Toddler
3 years old
4 years old
5 years old
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
I give consent for my child's photo to be taken. Photos may be used on social media and/or marketing/advertisement!
Please Select
Yes
No
Does your child have any allergies we should know about?
Please Select
Yes
No
If yes, please let us know
Submit
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