FORM-CHILDREN REGISTRATION Please enable JavaScript in your browser to complete this form.Parent/Gaurdian *FirstMiddleLastParent/GaurdianFirstMiddleLastParents address, City, State, Zip *Email Address *Parents Cell/Phone# *Can you recieve Texts? *YesNoAdditional Emergency Contact (optional)Audio/Video DisclaimerI am registering my child(ren) to be placed on a Kid Connection roster at the following time(s): *Sunday School during worship services.ACOM on Wednesday evenings (Check Schedule)Child's name #1 *FirstMiddleLastBoy / Girl *BoyGirlDate of Birth *Current Grade *Paragraph TextChild's name #2FirstMiddleLastBoy / Girl #2BoyGirlDate of Birth #2Current Grade #2Paragraph TextChild's name #3FirstMiddleLastBoy / Girl #3BoyGirlDate of Birth #3Current Grade #3Paragraph Text Child's name #4FirstMiddleLastBoy / Girl #4BoyGirlDate of Birth #4Current Grade #4Paragraph Text (copy)WebsiteSubmit