MV Kid's Enrollment Form

Please fill out this form and click submit. We look forward to seeing you on Sunday. Thank you!

Date

Last Name

*

First Name Parent #1

*

#1 Cell Phone

*

#1 Primary Email

*

This address will receive a confirmation email

#1 Occupation

#1 Birthday

Anniversary

First Name Parent #2

#2 Cell Phone

#2 Email

#2 Occupation

#2 Birthday

Home Phone

*

Home Address

*

Children to Enroll:

If more than 4, please list in the "Additional Notes" section below:

#1 Child Name

*

Birthday

*

Grade Level

*

Please select one option.

Nursery (0-2) Preschool (3-4) Elementary (K-5th) Jr. High (6th-8th) High School (9th-12th)

Any special instructions: (Allergies, Meds, etc.)

#2 Child Name

Birthday

Grade Level

Please select one option.

Nursery (0-2) Preschool (3-4) Elementary (K-5th) Jr. High (6th-8th) High School (9th-12th)

Any special instructions: (Allergies, Meds, etc.)

#3 Child's Name

Birthday

Grade Level

Please select one option.

Nursery (0-2) Preschool (3-4) Elementary (K-5th) Jr. High (6th-8th) High School (9th-12th)

Any special instructions: (Allergies, Meds, etc.)

#4 Child's Name

Birthday

Grade Level

Please select one option.

Nursery (0-2) Preschool (3-4) Elementary (K-5th) Jr. High (6th-8th) High School (9th-12th)

Any special instructions: (Allergies, Meds, etc.)

Please add me to your Email Newsletters:

*

Please select one option.

Yes No

Feel free to use our family picture(s) in: (please check all that apply)

*

Please select all that apply.

Church Directory In-Church Use Advertisement, web, social media, etc.

Additional Notes: (If more than 4 children, please list the names and ages here of remaining children. Thank you!)

Description

Please fill out this form and click submit. We look forward to seeing you on Sunday. Thank you!

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