Increase Kids Registration - Increase Church

Guardian's Name *

Child Age *

So we can put your child in the right group.

0-2 (Nursery)(Not Potty Trained)

3-5 (Potty Trained)

6-10 (Up to 5th Grade)

Phone Number *

Gender *

Medical Note

Allergies, Medical Issues, or any other medical concerns.

Notes

Anything else you would like us to know about your child.

Photo Consent

I give Increase Church and it's leadership permission to take and use photos of my child for social media and promotional purposes.

YES

NO

Household members