Faith Kids Registration [[[["field6","contains","Other"]],[["show_fields","field8"]],"and"]] 1 Step 1 Faith Kids Registration CIA - Junior Church - Children's Church Parent/Guardian 1 First Name Last Name Emaila valid emailemail Cell Phone Numberphone Birth DateChild's Birth Datedate_range Relationship to child Parent/Guardian 2 First Name Last Name Emaila valid emailemail Cell Phone Numberphone Birth DateChild's Birth Datedate_range Relationship to child: Address Information (Primary Residence of Child) Home Address City State Zip Home Phonephone 1st Child's Information First NameChild's First Name Last Nameyour full name Birth DateChild's Birth Datedate_range GenderChild's Gender GradeChild's Grade SchoolChild's School Allergies/Special Needs 2nd Child's Information First NameChild's First Name Last Nameyour full name Birth DateChild's Birth Datedate_range GenderChild's Gender GradeChild's Grade SchoolChild's School Allergies/Special Needs 3rd Child's Information First NameChild's First Name Last Nameyour full name Birth DateChild's Birth Datedate_range GenderChild's Gender GradeChild's Grade SchoolChild's School Allergies/Special Needs PhotographyChildren's ministry leaders have permission to photograph/film the minor(s) designated above for any lawful purpose associated with this program.YesNo Submit Form keyboard_arrow_leftPrevious Nextkeyboard_arrow_right