RC Kidz Children's Church Registration - Important: One completed for every child
Create a new form for each child so we can capture specific ages, allergies, etc. (If you need help to fill the form, please contact Corine or Pastor Denise)


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Email *
Parents & Legal Guardian(s) Information
1.1 - First Name of Parent 1 /  Legal Guardian *
1.12 - Family (Last) Name of Parent 1 /  Legal Guardian *
1.13 - Phone number of Parent 1 / Legal Guardian *
1.2 - First Name of Parent 2 /  Legal Guardian
1.21 - Family (Last) Name of Parent 2 /  Legal Guardian
1.22 - Phone number of Parent 2 / Legal Guardian
1.3 - Full Name of another Legal Guardian authorized to check in and checkout the child
1.4 Household Address *
1.5 Name of emergency contact? *
1.51 Phone number in case of emergency with child *
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