GRACE Children’s Ministries Registration Form 2010-2011
By Shawna Furman • May 14th, 2010 • Category: Children's Ministry, Featured MinistriesAbout The Child:
Child’s Last Name(required)
Child’s First Name(required)
Child’s Middle Name
Preferred Name
Grade in School for 2010-2011(required)
School Name
Child’s Age(required)
Child’s Birthdate(required)
Gender
Male
Female
Medical or Allergy Concern?
Yes
No
If yes, details
Father’s Name(required)
Street Address(required)
City(required)
Zip Code(required)
Home #
Work #
Cell #(required)
Email(required)
Mother’s Name(required)
Address (if different)
City
Zip Code
Home # (if different)
Work #
Cell #(required)
Email(required)
Which email would you prefer we use for weekly newsletters?
Mother
Father
Both
Other
If Other, please enter it
Siblings names and grade levels
Child(ren) live(s) [...]
