Kids Church Registration Form

Hi Parents of Centerpoint Kids Church

Please use this form to register your Preschool-Grade 5 student for kids church at Centerpoint Community Church.

Kid church starts back up on September 10th at 10am!

If you have any questions please reach out to mmarenco@centerpointsalem.org or melanie.tremblay@centerpointsalem.org

Please fill out a form for each of your children.

Parent/Guardian Name:

Email:

This address will receive a confirmation email

Cell Phone

Home Phone

Address:

Child's Name:

Birthdate:

Grade (2023-2024):

Any allergies?

Authorized people who can pick up your child? Must be an adult or teen sibling (age 13 or older)

Please list anything in this box that will help us better understand your child while we have them in class. This information will be kept confidential and is only used to help us get to know your child better. (physical disabilities, developmental delays, fears, favorites, IEP, nickname, etc)

See you in church!

Description

Please use this form to register for kid church (Preschool-grade 5) at Centerpoint Community Church Salem, NH.

Kids Church Registration Form

Description

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