C4KiDZ Ministry Registration - Cypress Creek Christian Church and Community Center, Spring, Texas

C4KiDZ Children's Ministry Registration

Please use the form below to register your child(ren) for all Children's Ministry events and activities at Cypress Creek.

**Note that an emergency medical release form will be required for any off-campus activities. Forms will be provided prior to any such event.

Child's Name	*
Please enter child's full name.

Child's Age	*
Please enter child's age as of last birthday.

Birthdate	*
MM-DD-YYYY

Grade	*
Grade your child is currently enrolled in.

Address	*
Child's street address.

City, State, ZIP	*
City, state and zip code.

Allergies?	*
Please list your child's allergies.

Medical Concerns	*
Please list any medical concerns you'd like us to be aware of, or signs/ symptoms to look for. If none, please enter "none".

Comments
Is there anything else you would like us to know about your child?

Siblings
Names of siblings, separated by commas. If none, please enter "none".

Baptized?	*
Has child been baptized?

Attendance	*
Does child attend Sunday School or Children's Church?

Worship	*
Which worship service is attended by parent(s)?

Parent 1	*
Please enter full name of parent.

Address 1
Please enter parent's address, if different from child's.

Email 1
Please enter parent's email address.

Home 1	*
Parent's home phone number, including area code.

Cell Phone 1
Paren'ts cell phone number, including area code.

Parent 2
Please enter full name of parent.

Address 2
Please enter parent's address, if different from child's.

Email 2
Please enter parent's email address.

Home 2
Parent's home phone number, including area code.

Cell Phone 2
Parent's cell phone number, including area code.