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2018-01-02T14:11:14-05:00
Intersection Registration Form
First Kids Wednesday night ministry is from 6:00pm to 7:45pm featuring Kids KREW, Mission Friends, Royal Ambassadors, and Girls in Action.
CHILD'S NAME
*
First
Last
PARENT'S NAME
*
First
Last
ADDRESS
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
HOME/CELL PHONE
*
EMERGENCY CONTACT
Email
Enter Email
Confirm Email
WHAT MINISTRY WILL YOUR CHILD BE ATTENDING?
*select all that apply
Kids KREW ( K-5th Grade Boys and Girls 6:00pm - 6:45pm)
RA's (1st - 5th Grade Boys 6:45pm - 7:45pm)
GA's (1st - 5th Grade Girls 6:45pm - 7:45pm)
Mission Friends (Kindergarten Boys and Girls 6:45pm - 7:45pm )
WHICH PARENT IS PICKING UP THE CHILD?
*
First
Last
HOW WILL YOUR CHILD BE PICKED UP?
*
Car Rider
FBC Bus
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