Children's Ministry Church Program Registration
Please fill out this form to register for the children's ministry program.
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Child's Full Name
*
First Name
Last Name
Child's Age
*
Child's Grade
*
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Select the Program(s) to Register
*
AWANA
Sunday Morning G.I.F.T.S. Bible Study
Vacation Bible School
Other
Please list any allergies or special needs
Church Contact Information
Phone: (815)562-4168
Email: kidmin.fbcrochelle@gmail.com
Address: 810 Woolf Ct Rochelle, IL 61068
Register
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