RKIDZ REGISTRATION

PLEASE COMPLETE ONE FORM FOR EACH CHILD

Thank you for taking a moment to pre-enroll your child for our Refuge Chiurch Children's Ministry. Taking a few moments now will save us all the extra minutes when you first visit!

Name

Gender

Male Female

Birthdate

Emergency Contact

Emergency Phone

Parent/Gaurdian Email

Address

List Any Allergies:

Special Notes or Health Needs?

Description

Please fill out this form and click submit.

RKIDZ REGISTRATION

Description

Please Fix the Following