Christ Chapel Children's Ministry Registration Form

Please fill out this form and click submit.

Child's Name

*

Gender

*

Please select one option.

Male Female

Date of Birth

*

Grade in School

*

Please select one option.

Preschool Kindergarten Ist Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Allergies

Does your child have special needs, medical conditions they want to notify us about?

Parent's Name

*

Email

*

This address will receive a confirmation email

Cell Phone

*

Address

*

Are you registering your child for

*

Please select one option.

Children's Church Mastering Motherhood

By registering my child for children’s ministry at Christ Chapel or Mastering Motherhood, I consent to their participation in these ministries and I give Christ Chapel or Mastering Motherhood permission to use my child’s photograph (without their name) in Christ Chapel or Mastering Motherhood publications, media, and website materials.

Please select all that apply.

Description

Please fill out this form and click submit.

Please Fix the Following

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