REVOLUTION KIDZ Pre-Registraton

Child's Name

Age

Date of Birth

Allergies or Medications

Your Name

This address will receive a confirmation email

Phone

Authorized Pick-Ups

Consent & Acknowledgement

Please check both boxes.

I give permission for Revolution Church to provide care for my child during service. I understand that I may be contacted in case of emergency.

Description

Pre-register your child below to help us prepare a safe, nurturing, and faith-building environment where they can encounter Jesus, learn, grow, and thrive in community.

REVOLUTION KIDZ Pre-Registraton

Description

Please Fix the Following