JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Pilgrim's Kids' Club Registration
Registration for Pilgrim's Kids' Club
ministry of
:
Pilgrim's Rest Baptist Church
11441 Ware Church Road
Hillsboro, MO 63050
pilgrimsrestbaptist.church
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Parent/Guardian First and Last Name
*
Your answer
Parent/Guardian cell phone number:
*
Your answer
Other Parent/Guardian First and Last Name
(optional)
Your answer
Child #1 First and Last Name
*
Your answer
Please enter your street address:
*
Your answer
Child #1 Age/Current School Grade Level
*
Choose
Pre-school age 4
Kindergarten or age 5
1st Grade or age 6
2nd Grade or age 7
3rd Grade or age 8
4th Grade or age 9
5th Grade or age 10
6th Grade or age 11
Child #1 - Allergies or Special Needs
(Please enter "NONE" if none)
*
Your answer
Do you need to register another child?
*
Yes
No
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
