Page 89 | Crossroads For Life Ministries

Name (Required)

Email Address (Required)

Registration Date (Required)

Please enter name of child (Required)

I certify that the above information is correct to the best of my knowledge.

Age Group (Required)

Birthday (Required)

Gender (Required)

Boy

Girl

Relationship to Student (Required)

Emergency Contact (Required)

In the event of an emergency, who do we contact? Phone number?

Child drop off/ pick up (Required)

Please list names of persons allowed to drop off or pick up your child

Allergies or Medical Info (Required)

Please list allergies and/or make us aware of any known Medical conditions

What is your child T-Shirt Size? (Required)

Toddler 2T-4T

Small 4-6

Medium 8-10

Large 10-12

Extra Large 14-16

Other

Solve 4 + 8 = ?

Crossroads For Life Ministries