Registration Form(One Per Child) Child's Name * First Name Last Name Child's Age * Date of Birth * (must be 4 years old by Sept. 1) MM DD YYYY Last school grade completed * Name of parent(s) * Street address * City * State Zip code Home Telephone ###-###-#### (###) ### #### Parent/caregiver's cellphone * ###-###-#### (###) ### #### Home email address * Home Church Crew number or name (for church use only) Allergies or other medical conditions * In case of an emergency, contact * Phone * ###-###-#### Relationship to child * Thank you!
