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NextStep Childcare Registration

To participate in Childcare, families must register their children. If you have never registered before, please complete the form below followed by the submit button. 

Please note:
  • When you arrive at the church, proceed to Kidzburgh by 6:50 pm to sign-in.
  • Children ages one through six will remain in childcare until the conclusion of the service.
  • First through fourth grade children are welcome to attend the first part of the First Wednesday service with their parents and return to childcare prior to the message.
ChildCare Registration Form:
* Parent's First Name
* Parent's Last Name
* Address
* City
* State
* Zip
* Home phone:
* Cell phone:
* Work phone:
* Email:
* Name of child 1 attending childcare
* Age and date of birth
* Any allergies or special concerns?
   Name of child 2 attending childcare
   Age and date of birth
   Any allergies or special concerns?
   Name of child 3 attending childcare
   Age and date of birth
   Any allergies or special concerns?
   Name of child 4 attending childcare
   Age and date of birth
   Any allergies or special concerns?