Nursery and Pre-School Church Registration

Parent's Information

Parent's Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Child's Information

Child's Name

*

Age

*

Date of Birth

*

Allergies

*

Any other important Information

*

Register Another Child

Child's Name

Age

Date of Birth

Allergies

Any Other Important Information

Description

Please fill out this form and click submit.