Child Visitor Registration Form


Child Visitor Registration Form

Child Registration Form
Parent/Adult Information

This is the information for the primary adult with whom the child is attending church.

First, Last

If cell is the only phone, enter None

If none, enter None

Marital Status

Child Information


Contact Information

If Child lives with primary adult listed above, and has the same Address/Phone number, check here

If DIFFERENT, please list child's Address, Phone number and parent(s)'/guardian(s)' names.

Child 2 Information


First, Last

Please list names, birthdates and grade (or last completed)

Anything you would like to let us know about your child(ren) or questions you might have, please enter them here.