Pastoral Leadership Retreat (Kids)
Childcare Registration for Pastors & Leadership Team Retreat
Parent's Name
*
First Name
Last Name
Parent's Phone
*
Please enter a phone number that can receive text messages.
Format: (000) 000-0000.
Church Name
*
What is your leadership position?
*
Did you complete the registration for retreat and select the childcare option?
*
Yes
No
It was completed by someone else on my behalf
1 Child's Name
*
First Name
Last Name
1 Child's Age
*
Please share the child's current age.
Allergies or other information
*
Please list any allergies your child may have as well as any additional information that would be helpful to our caregivers.
2 Child's Name
First Name
Last Name
2 Child's Age
Please share the child's current age.
Allergies or other information
Please list any allergies your child may have as well as any additional information that would be helpful to our caregivers.
3 Child's Name
First Name
Last Name
3 Child's Age
Please share the child's current age.
Allergies or other information
Please list any allergies your child may have as well as any additional information that would be helpful to our caregivers.
Submit
Should be Empty: