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[contact-form-7 id="" title="Contact"]
REC Kids Registration
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REC Kids Registration
Child Information
Child's Name
*
Gender
*
Male
Female
Baptized
*
Yes
No
Date of birth
*
Month
*
Day
*
Year
*
Grade
*
Please select an option
Preschool
Kindergarten
1
2
3
4
5
6
7
Any special needs or allergies?
Does child carry an EpiPen or other medication?
Parent Information
If you are registering multiple kids, please only include your contact info for the first submission only. Only your name is required for any subsequent applications.
Parent Name
*
Phone
Email Address
Would you like to receive updates from REC Kids ministries?
Yes
No
If you are new, who invited you?
Submit
Please do not fill in this field.