NMBC Kids Registration

Please fill out this form and click submit. We can't wait to share with you more information about all that God is doing in the lives of young families here at NMBC!!!

Please carefully fill out information regarding your family and your kid(s) (infant-5th grade)! We want to make sure we can provide the best care for your family and this information assures that our ministry team can partner with you to point your child to Jesus!

Child's Name

Birthdate

Gender

Please select one option.

Male Female

Grade

Please select one option.

Infant/Toddler PreKindergarten Kindergarten 1st 2nd 3rd 4th 5th

Address

Allergy Info

Medical Info (anything we should know about your child's health)

1 Parent/Guardian Full Name

1 Parent/Guardian Relationship with Child

Please select all that apply.

Father Mother Grandparent Other

This address will receive a confirmation email

Phone

2 Parent/Guardian Full Name

2 Parent/Guardian Relationship with Child

Please select all that apply.

Father Mother Grandparent Other

2 Parent/Guardian Email

2 Parent/Guardian Cell Phone

I am registering my child for:

Please select all that apply.

Kids Church Classes (Sunday Mornings) FIT Kids (Thursday for K-5th)

Please share any additional information about your family!

Description

Please fill out this form and click submit. We can't wait to share with you more information about all that God is doing in the lives of young families here at NMBC!!!

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