kids pre-registration – Citizens Church – Pastor Chris Norman

Citizens Kids | Pre-Registration

Fill out the form below and we'll have your child(ren) loaded in our system and ready to go!

Your Family's Last Name*
Email*
Cell Number
I heard about Citizens from: (check all that apply)
- A Friend
- Facebook
- A Mailer
- A Banner
- Web Search
- Other
Parent #1's Name*
Parent #2's Name
How many kids are you registering
Child #1 Information
Child #1's Name
First Last
Birthday
MM slash DD slash YYYY
Grade Level
Allergies or Information We Should Know
Child #2 Information
Child #2's Name
First Last
Birthday
MM slash DD slash YYYY
Grade Level
Allergies or Information We Should Know
Child #3 Information
Child #3's Name
First Last
Birthday
MM slash DD slash YYYY
Grade Level
Allergies or Information We Should Know
Child #4 Information
Child #4's Name
First Last
Birthday
MM slash DD slash YYYY
Grade Level
Allergies or Information We Should Know
Child #5 Information
Child #5's Name
First Last
Birthday
MM slash DD slash YYYY
Grade Level
Allergies or Information We Should Know
Child #6 Information
Child #6's Name
First Last
Birthday
MM slash DD slash YYYY
Grade Level
Allergies or Information We Should Know