Midweek Bible Studies

1

Child's Name

First Name

Last Name

3

Birthday

Date

4

Mailing AddressFor birthday cards, and other fun things!

Mailing Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

5

Parent/Guardian Name Just in case

First Name

Last Name

6

Parent/Guardian's Phone Number

Please enter a valid phone number.

7

Allergies/Medical NeedsWe do have meals and snacks at different times.

8

I give permission for my child to be photographed and/or videotaped during church activities. I understand these images or recordings may be used by the church for promotional purposes, including social media, the church website, printed materials, and other church communications. I understand that these images will not be sold or used for commercial purposes outside of church ministry.

Yes

No