KIDS PRE-REGISTRATION
 
 
 




O’Fallon Assembly of God Kidz Church Pre-Registration

Your Name

Your Email

Street Address

City

State

Zip Code

Mobile Phone

Spouses Name

Spouses Number

Notes
(any helpful information:allergies, custody, questions, etc.)

Child #1 Name and Date of Birth

Child #2 Name and Date of Birth

Child #3 Name and Date of Birth

Child #4 Name and Date of Birth

Child #5 Name and Date of Birth

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