Which service will you be attending? Which service will you be attending?Sunday, June 4 | 9 amSunday, June 4 | 11 amSunday, June 11 | 9 amSunday, June 11 | 11 amSunday, June 18 | 9 amSunday, June 18 | 11 amSunday, June 25 | 9 amSunday, June 25 | 11 am

Name

Email Address

Mailing Address

City

State

Zipcode

Date Of Birth (MM/DD/YY)

Home Phone

Cell

Gender Gender Male Female

Pre-Register Your Child Pre-Register Your Child Add Child 1 Add Child 2 Add Child 3 Add Child 4

Child 1 Name

Date Of Birth (MM/DD/YY)

Grade GradeNursery - PreKKindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6

Child 1 Gender Child 1 Gender Male Female

First Time Guest ? First Time Guest ? Yes No

Please list and describe any special considerations associate with this child. (Allergies, Diabetic, Speech/Hearing Disability, Autistic, Restroom Assistance Needed: Parental or Worker, Physical Handicap, Custody, etc.)

Child 2 Name

Date Of Birth (MM/DD/YY)

Child 2 Grade Child 2 GradeNursery - PreKKindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6

Child 2 Gender Child 2 Gender Male Female

First Time Guest ? First Time Guest ? Yes No

Please list and describe any special considerations associate with this child. (Allergies, Diabetic, Speech/Hearing Disability, Autistic, Restroom Assistance Needed: Parental or Worker, Physical Handicap, Custody, etc.)

Child 3 Name

Date Of Birth (MM/DD/YY)

Child 3 Grade Child 3 GradeNursery - PreKKindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6

Child 3 Gender Child 3 Gender Male Female

First Time Guest ? First Time Guest ? Yes No

Please list and describe any special considerations associate with this child. (Allergies, Diabetic, Speech/Hearing Disability, Autistic, Restroom Assistance Needed: Parental or Worker, Physical Handicap, Custody, etc.)

Child 4 Name

Date Of Birth (MM/DD/YY)

Child 4 Grade Child 4 GradeNursery - PreKKindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6

Child 4 Gender Child 4 Gender Male Female

First Time Guest ? First Time Guest ? Yes No

Please list and describe any special considerations associate with this child. (Allergies, Diabetic, Speech/Hearing Disability, Autistic, Restroom Assistance Needed: Parental or Worker, Physical Handicap, Custody, etc.)

Which service will you be attending? Which service will you be attending?Sunday, May 14 | 9 amSunday, May 14 | 11 amSunday, May 21 | 9 amSunday, May 21 | 11 amSunday, May 28 | 9 amSunday, May 28 | 11 am

Name

Email Address

Mailing Address

City

State

Zipcode

Date Of Birth (MM/DD/YY)

Home Phone

Cell

Gender Gender Male Female

Pre-Register Your Child Pre-Register Your Child Add Child 1 Add Child 2 Add Child 3 Add Child 4

Child 1 Name

Date Of Birth (MM/DD/YY)

Grade GradeNursery - PreKKindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6

Child 1 Gender Child 1 Gender Male Female

First Time Guest ? First Time Guest ? Yes No

Please list and describe any special considerations associate with this child. (Allergies, Diabetic, Speech/Hearing Disability, Autistic, Restroom Assistance Needed: Parental or Worker, Physical Handicap, Custody, etc.)

Child 2 Name

Date Of Birth (MM/DD/YY)

Child 2 Grade Child 2 GradeNursery - PreKKindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6

Child 2 Gender Child 2 Gender Male Female

First Time Guest ? First Time Guest ? Yes No

Please list and describe any special considerations associate with this child. (Allergies, Diabetic, Speech/Hearing Disability, Autistic, Restroom Assistance Needed: Parental or Worker, Physical Handicap, Custody, etc.)

Child 3 Name

Date Of Birth (MM/DD/YY)

Child 3 Grade Child 3 GradeNursery - PreKKindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6

Child 3 Gender Child 3 Gender Male Female

First Time Guest ? First Time Guest ? Yes No

Please list and describe any special considerations associate with this child. (Allergies, Diabetic, Speech/Hearing Disability, Autistic, Restroom Assistance Needed: Parental or Worker, Physical Handicap, Custody, etc.)

Child 4 Name

Date Of Birth (MM/DD/YY)

Child 4 Grade Child 4 GradeNursery - PreKKindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6

Child 4 Gender Child 4 Gender Male Female

First Time Guest ? First Time Guest ? Yes No

Please list and describe any special considerations associate with this child. (Allergies, Diabetic, Speech/Hearing Disability, Autistic, Restroom Assistance Needed: Parental or Worker, Physical Handicap, Custody, etc.)