Bellefield Presbyterian Church Children's Ministry Registration

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Use this form to sign up for our Children's Ministry resources and communication. Please use this form to register your children who are between the ages of 2 and 10 years old. If you have children age 11 or older, please register them with our Youth program (contact our Youth Leader, Matthew Jones at matthew@bellefield.org). If you have questions about our Children's Ministry, please contact Tanya Carter, Director of Children & Youth, at tanya@bellefield.org.

Email *

Parent/Guardian #1 full name *

Parent/Guardian #2 full name

Family Mailing Address *

Contact Telephone Number (please indicate whose phone it is!) *

Is it OK to text this number? I will never spam you! *

Yes

Please describe any special needs any of your children may have.

Please provide the full name of the first child you want to register. *

Preferred name?

What is your child's date of birth? *

YYYY

What is your child's grade in school in 2020-2021? If too young, please write N/A. *

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