Kid’s Registration

Parent's Full Name

Phone Number

Residential Address

Your email

Child 1 | Full Name

Child 1 | Date of Birth

Child 1 | Age

Child 1 | Grade completed

Child 1 | Gender
MaleFemale

Child 2 | Full Name

Child 2 | Date of Birth

Child 2 | Age

Child 2 | Grade completed

Child 2 | Gender
MaleFemale

Child 3 | Full Name

Child 3 | Date of Birth

Child 3 | Age

Child 3 | Grade completed

Child 3 | Gender
MaleFemale

Which Church do you attend?
ELAG ChurchOther

Do your kids attend ELAG Kids Church?
YesNo

Any special prayer request?