Kid's Prayer Seminar Registration
Parent's Name
*
First Name
Last Name
Parent's Email
*
example@example.com
Parent's Phone Number
*
Child's Name
*
First Name
Last Name
Child's Age
*
Complete this section if you have more than one child to register
Child's Name
First Name
Last Name
Child's Age
Child's Name
First Name
Last Name
Child's Age
Child's Name
First Name
Last Name
Child's Age
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Church associated with (if any)
Does your child(ren) have any medical or dietary things we need to be aware of for the day?
I understand that I will have to pay $5 per child upon arrival
*
Yes
Submit
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