Parent / Guardian Name *

First Name

Last Name

Phone *

(###)

###

####

Ministries my child(ren) will be involved in *

Sunday School

Kid Jam

Pathfinders (4 & 5 grade boys)

Jr. High Youth Ministry

Sr. High Youth Ministry

Unsure

Are you willing to help serve in your child's ministries? *

Yes

No

Maybe

I'd like more information on what you're needing

Does your child(ren) need a ride?

We provide transportation on Wednesdays from Edgerton. If you are in other areas and need transportation also please mark yes and let us know where you need a ride from.

Yes

No

Can we set a place for your child(ren) for our Wednesday evening supper??

Meal begins at 5:45 till 6:15

Yes

No

Sometimes

Can we set a place for you as a parent/guardian for our Wednesday evening supper?

Yes

No

Sometimes