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Kids at the Mount Sunday Registration
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Parent First Name:
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Parent Last Name:
Spouse Name:
*
Parent Cell Phone:
Alternate Phone Number:
*
Parent Email Address:
Parent Address (Street Address, City, State, Zip):
What Campus Will You Attend?:
-- Select --
Stafford
Fredericksburg
Please fill out the following information about your children.:
Please Choose:
-- Select --
Guest Today Only
Looking For a Church Home
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Name of Child 1:
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Birthdate of Child 1:
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Grade of Child 1:
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Gender of Child 1:
Male
Female
*
Allergies or Special Needs for Child 1:
Photographs are Used for Church Promotions:
Please Don't Photograph My Child:
Name of Child 2:
Birthdate of Child 2:
Grade of Child 2:
Gender of Child 2:
Male
Female
Allergies or Special Needs for Child 2:
Name of Child 3:
Birthdate of Child 3:
Grade of Child 3:
Gender of Child 3:
Male
Female
Allergies or Special Needs for Child 3:
Name of Child 4:
Birthdate of Child 4:
Grade of Child 4:
Gender of Child 4:
Male
Female
Allergies or Special Needs for Child 4:
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