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Mars Hill Community Church
Children's Ministry Registration Form
Required for Infants- 5th Grade
Parent First Name
*
Parent Last Name
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Email Address
*
1st Child Name:
*
Date of Birth:
*
Allergies:
*
Grade in School (2019-20):
*
2nd Child Name:
Date of Birth:
Allergies:
Grade in School (2019-20):
3rd Child Name:
Date of Birth:
Allergies:
Grade in School (2019-20):
4th Child Name:
Date of Birth:
Allergies:
Grade in School (2019-20):
Please contact me concerning Mars Hill Children's Ministry
K-5th
Preschool
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This information will not be shared or used for any purpose other than for the secure check-in registration in the Children's ministry at Mars Hill Community Church, Powder Springs GA 30127