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Engedi Kids Pre-Registration

Pre-Register For Engedi Kids

Please submit all pre-registration forms by 12PM on the Saturday before the first Sunday of attendance.

KIDS - Pre-Registration

Please submit all pre-registration forms by 12PM on the Saturday before the first Sunday of attendance.
Today's Date*
MM slash DD slash YYYY
Which campus are you attending?*
- Holland Campus
- Grand Rapids Campus
- Engedi Espanol
Check all that apply
- First Time Guest
- Guest Child - I'm bringing a neighbor, cousin, friend, etc.
- This will be a one-time-visit
- Regular Attendee - add my child to my account
Parent/Guardian #1*
First Last
Parent/Guardian #2
First Last
Primary Email*
Cell Phone to reach Parent/Guardian*
I authorize Engedi Kids to contact me if needed during the worship gathering by sending a text message to the following phone.
Cell Phone Service Provider*
Verizon, Sprint, etc.
Who's cell phone is this?
Photo Authorization*
By registering with Engedi Kids, you authorize that your child's images and artwork be used in video, print, and web publications. If you have any questions about this, please contact kids@engedichurch.com
- I consent
- I do not consent
Child #1 Information
Child's Name*
First Last
Child's Gender*
- Boy
- Girl
Child's Birthdate*
MM slash DD slash YYYY
Child's Grade
Leave blank if inapplicable.
Child's Allergies or other Special Need
Leave blank if inapplicable.
Add a second child?*
- Yes
- No
Child #2 Information
Child's Name*
First Last
Child's Gender*
- Boy
- Girl
Child's Birthdate*
MM slash DD slash YYYY
Child's Grade
Leave blank if inapplicable.
Child's Allergies or other Special Need
Leave blank if inapplicable.
Add a third child?*
- Yes
- No
Child #3 Information
Child's Name*
First Last
Child's Gender*
- Boy
- Girl
Child's Birthdate*
MM slash DD slash YYYY
Child's Grade
Leave blank if inapplicable.
Child's Allergies or other Special Need
Leave blank if inapplicable.
Add a fourth child?*
- Yes
- No
Child #4 Information
Child's Name*
First Last
Child's Gender*
- Boy
- Girl
Child's Birthdate*
MM slash DD slash YYYY
Child's Grade
Leave blank if inapplicable.
Child's Allergies or other Special Need
Leave blank if inapplicable.
Add a fifth child?*
- Yes
- No
Child #5 Information
Child's Name*
First Last
Child's Gender*
- Boy
- Girl
Child's Birthdate*
MM slash DD slash YYYY
Child's Grade
Leave blank if inapplicable.
Child's Allergies or other Special Need
Leave blank if inapplicable.
If you need to register more than five children, complete this form and start a new form, beginning with the next child.
Untitled
- First Choice
- Second Choice
- Third Choice

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616.796.6799

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