To pre-register your child, fill out the form below.

Child's Name

First Name

Last Name

Parent/Guardian's Name

First Name

Last Name

Parent/Guardian's Name

First Name

Last Name

Parent Phone #

(###)

###

####

Additional Emergency Phone #

(###)

###

####

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Child's Birthdate

Grade during 2017-2018 school year

1st

2nd

3rd

4th

5th

School

Do we have permission to post photos of your child on church website or other social media?

YES

Any allergies or medical concerns that we may need to know about?