November First Wednesday Prayer & Worship

November 6 | 7:00-9:00pm | Please fill out this form and click submit.

Please complete all information for your child(ren). Students will be in age-appropriate classrooms based on registration numbers. If your plans change and you will not be attending, please notify the church office so that we may plan accordingly.

Parent Info

Name

*

Phone

*

Email

*

This address will receive a confirmation email

Child Info

Child 1 First & Last Name

*

Age

*

Grade if in 2nd-5th

Please select one option.

2 3 4 5

Allergies

Child 2 First & Last Name

Age

Grade if in 2nd-5th

Please select one option.

2 3 4 5

Allergies

Child 3 First & Last Name

Age

Grade if in 2nd-5th

Please select one option.

2 3 4 5

Allergies

If registering more than 3 children, please submit and complete an additional form.

Description

November 6 | 7:00-9:00pm

Please fill out this form and click submit.

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