Vineyard Kids Registration

Parent Information

Name

*

Phone

*

Email

*

This address will receive a confirmation email

Address

Child #1 Information

Name

*

Age

*

Grade in school

*

Any allergies or medical information we should know?

*

Child #2 Information

Name

Age

Grade in school

Any allergies or medical information we should know?

Child #3 Information

Name

Age

Grade in school

Any allergies or medical information we should know?

Child #4 Information

Name

Age

Grade in school

Any allergies or medical information we should know?

Description

We are so excited for your kids to experience God with us in our Vineyard Kids Ministry! Please fill out the information on this form and then hit the "Submit" button below.