Registration Form

Registration Form






Please fill out this form if you :


*Name:
*Date:
Email:
*Phone:
*Preferred Way to Reach Me:
*Address:
*City:
*State:
*Zip:


(The Directory is only a printed document, and only made available to members at the Information Center)
*Selections:
Children Attending:

(enter the names and ages of any children that will be attending)

Childcare:



If you require childcare, please note in the comments the names and ages of your children.

(Child care is provided by our KidzVille Children's Ministry Team.
Our KidzVille Leaders and Team will make sure your children feel welcomed, safe, and secure while you are in class. Before you begin, you can bring your child to the entrance of KidzVille for Check-In.)


*Why Would You Like to Join?:
Comments: