21 Days of Prayer
About
Our Pastor
Our Story
Our Vision
Kids Life
FAQ
Next Steps
Join One Life
Growth Track
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Messages
Give
21 Days of Prayer
About
Our Pastor
Our Story
Our Vision
Kids Life
FAQ
Next Steps
Join One Life
Growth Track
Small Groups
Dream Team
Water Baptism
Request Prayer
Messages
Give
Pre-Register Your Child
1
Parent/Guardian Information
2
Child Information
Parent Information
Name
*
First
Last
Your Date of Birth
*
MM
DD
YYYY
Email
*
Cell Phone Number:
*
Relationship with Child(ren)
*
Mother
Father
Grand Father
Grand Mother
Aunt
Uncle
Male Guardian
Female Guardian
Marital Status
*
Single
Married
Spouse Information
Yes, include my spouse's information
Spouse Name
*
First
Last
Spouse Email
*
Spouse Cell Phone Number:
*
Spouse Date of Birth
*
MM
DD
YYYY
Spouse Relationship with Child(ren)
*
Mother
Father
Grand Father
Grand Mother
Aunt
Uncle
Male Guardian
Female Guardian
Child Information
*
Full Name
Age
Grade
Gender
DOB
Allergies?
For safety purposes, I understand that I must present the security claim tag assigned to me or a valid ID in order to obtain my child(ren) from any Kids Life environments once they are checked in.
I understand the check-in/check-out procedure
Today's Date
*
MM
DD
YYYY
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