Mount Pisgah Kids Registration

Mount Pisgah Kids Registration

Our goal is to make your Sunday morning as smooth as possible. By adding your information below this allows us to be prepared for your child to join us
Child's Name*

First NameLast Name
Date of Birth *
Grade Last Copleted*

Non-WalkingWalkingKindergarten1st2nd3rd4th5th
Are there any allergies we should be aware of? If not, please type none. *
Is there any information we should know to better support the student? (anxiety, autism, extreme fear) If not please type none.*
Name of Adult dropping child off*
example@example.com
Name of Adult dropping child off
example@example.com
Contact Number for Sunday*
Please enter a valid phone number.
Address where child lives*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Photo Release*

Yes I give approval for pictures taken during classes or activities to be used without my child's name connected to the photo for promotional purposes connected with the Mount Pisgah Church.Please do not use my child's photo in any public forums.
Thank you so much for filling out this form. The section below this paragraph should only be filled out one time, no matter how many children you are registering. Simply add the names of your other children below and we will do the work of connecting all of your information to each one.

Again, thank you for taking the time to fill this out as we seek to serve your children well.
Other children being registered with your family
Parent/Gaurdian Name if different from above

First NameLast Name
Phone Number if different from above
Please enter a valid phone number.
Parnet/Gaurdian Name if different from above

First NameLast Name
Phone Number if different from above
Please enter a valid phone number.
Should be Empty: