NextGen Parent/Kid Registration

Your name *

Last name

Email address *

Birthdate *

Grade

Select…Pre-KindergartenKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th Grade

Phone number *

Phone type

MobileHomeWorkOther

Address *

HomeWorkOther

Country

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Please list any allergies

Please list any medical conditions or special instructions we should be aware of to best care for your child.

Select…Primary ContactSpouseChild

Do we have your permission to photograph or video your child during church events? These images may be used for ministry purposes, including highlights and promotional content on our church’s social media platforms.

Yes, I do give permission

No, I do not give permission

Household members

+ Add adult+ Add child

Submit

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