Colonial Kid's Pre-Registration
Parent's Full Name
Email Address
Mobile Number
Mailing Address
*
Mailing State
Mailing City
Mailing Zip Code
First Name
Last Name
Gender
Male
Female
Date of Birth
School Grade
-- None --
Infant
1 y/o
2 y/o
3 y/o
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Occasionally Colonial Church photographs services and classes. Do you give permission for your child to be photographed?
*
Yes
No
Medical Notes
I understand that by submitting this form I am opting in to receive emails and texts from Colonial Church. You can opt out at any time.
I agree
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