Children's Ministry Registration
Thank you for registering your children for the October 12th Congregational Service in Lowell. We are offering classes for 2 years, 3 years, and 4-K aged children. Your registration helps our volunteers know who and what to expect.
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Child Name
*
First Name
Last Name
Child Date of Birth
*
-
Month
-
Day
Year
Date
Select a class for your child
*
Please Select
Age 2
Age 3
Age 4-K
Does your child have any allergies?
*
If yes, please specify.
Is there anything we should know in order to best serve your child?
Add another child?
*
Yes
No
Back
Next
Child Name
*
First Name
Last Name
Child Date of Birth
*
-
Month
-
Day
Year
Date
Select a class for your child
*
Please Select
Age 2
Age 3
Age 4-K
Does your child have any allergies?
*
If yes, please specify.
Is there anything we should know in order to best serve your child?
Add another child?
*
Yes
No
Back
Next
Child Name
*
First Name
Last Name
Child Date of Birth
*
-
Month
-
Day
Year
Date
Select a class for your child
*
Please Select
Age 2
Age 3
Age 4-K
Does your child have any allergies?
*
If yes, please specify.
Is there anything we should know in order to best serve your child?
Add another child?
*
Yes
No
Back
Next
Child Name
*
First Name
Last Name
Child Date of Birth
*
-
Month
-
Day
Year
Date
Select a class for your child
*
Please Select
Age 2
Age 3
Age 4-K
Does your child have any allergies?
*
If yes, please specify.
Is there anything we should know in order to best serve your child?
Add another child?
*
Yes
No
Back
Next
Child Name
*
First Name
Last Name
Child Date of Birth
*
-
Month
-
Day
Year
Date
Select a class for your child
*
Please Select
Age 2
Age 3
Age 4-K
Does your child have any allergies?
*
If yes, please specify.
Is there anything we should know in order to best serve your child?
Add another child?
*
Yes
No
Back
Next
Parent/Guardian Name
*
First Name
Last Name
Email
*
example@example.com
Phone
*
Which Boston Church region do you attend?
*
Please Select
Arlington - Central
Back Bay - Downtown
Bridgewater - South Coastal
Español Arlington/Boston
Framingham - Metro
Lowell - Northwest
Milton - South Cities
Reading - Northeast
Submit
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