We are excited to have your child(ren) and/or teen(s) be part of Children's & Teens' Ministries!
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I am registering __ children for Children's Ministries. *


 
Parent Information

 
Parent First Name *

 
Parent Last Name *

 
Are you interested in/able to serve in Children's Ministries? *


 
Would you like to receive email communications about Children's Ministries? *

We typically only send out an email for special children's events and should not exceed one per month.  We will not share your email.
     
 
What is the best phone number to reach you at? *

Please use format 603-595-0955.
 
What is a secondary number we can reach you at? *

This will only be used in case of emergency.
 
Who should we contact in case of an emergency? *

Please include first and last name and phone number
 
What is your street name and house number *

517 Boston Post Road (and apt/unit number if applicable).
 
What city/town do you live in? *

 
What state do you live in? *

 
What is your zip code? *

 
Are there any alternate drivers to pick up your child(ren)? *

Please list their first and last name, contact phone number, and their relationship to the child.  Alternate drivers will need to present an ID before picking up children.
 
If you selected "other" as your church, what church do you attend?

Please skip if you selected a church or "none" on the previous question.
 
Child #1 Information

 
Child #1's First Name *

 
{{answer_yFFX}}'s Last Name *

 
{{answer_yFFX}}'s birthday is: *

 
{{answer_yFFX}} is: *


 
Does {{answer_yFFX}} have any allergies? *

Please select allergy type(s).  The next question will provide a place to describe allergies.

 
If  {{answer_yFFX}} has any allergies, please list them below.  If not, please skip this question.

If your child has any food allergies/sensitivities, please plan to bring a snack for him/her.  We will have a snack list for the week available at registration each morning.
 
Does {{answer_yFFX}} have any special needs we should be aware of? *

There will be a space on the next question to provide more information.

 
Please provide any specific details regarding the special need and/or assistance {{answer_yFFX}} may need.

If there are none, please skip this question.
 
Is there anything else we should know about {{answer_yFFX}}?

 
What ministries is {{answer_yFFX}} participating or interested in? *


 
I have another child to register. *

     
 
Child #2 Information

 
Child #2's First Name *

 
{{answer_yQt0}}'s Last Name *

 
{{answer_yQt0}}'s birthday is: *

 
{{answer_yQt0}} is: *


 
Does {{answer_yQt0}} have any allergies? *

Please select allergy type(s).  The next question will provide a place to describe allergies.

 
If  {{answer_yQt0}} has any allergies, please list them below.  If not, please skip this question.

If {{answer_yQt0}} has any food allergies/sensitivities, please plan to bring a snack for him/her.  We will have a snack list for the week available at registration each morning.
 
Does {{answer_yQt0}} have any special needs we should be aware of? *

There will be a space on the next question to provide more information.

 
Please provide any specific details regarding the special need and/or assistance {{answer_yQt0}} may need.

If there are none, please skip this question.
 
Is there anything else we should know about {{answer_yQt0}}?

 
What ministries is {{answer_yQt0}} participating or interested in? *


 
I have another child to register. *

     
 
Child #3 Information

 
Child #3's First Name *

 
{{answer_bZJv}}'s Last Name *

 
{{answer_bZJv}}'s birthday is: *

 
{{answer_bZJv}} is: *


 
Does {{answer_bZJv}} have any allergies? *

Please select allergy type(s).  The next question will provide a place to describe allergies.

 
If  {{answer_bZJv}} has any allergies, please list them below.  If not, please skip this question.

If {{answer_bZJv}} has any food allergies/sensitivities, please plan to bring a snack for him/her.  We will have a snack list for the week available at registration each morning.
 
Does {{answer_bZJv}} have any special needs we should be aware of? *

There will be a space on the next question to provide more information.

 
Please provide any specific details regarding the special need and/or assistance {{answer_bZJv}} may need.

If there are none, please skip this question.
 
Is there anything else we should know about {{answer_bZJv}}?

 
What ministries is {{answer_bZJv}} participating or interested in? *


 
I have another child to register. *

     
 
Child #4 Information

 
Child #4's First Name *

 
{{answer_bUgV}}'s Last Name *

 
{{answer_bUgV}}'s birthday is: *

 
{{answer_bUgV}} is: *


 
Does {{answer_bUgV}} have any allergies? *

Please select allergy type(s).  The next question will provide a place to describe allergies.

 
If {{answer_bUgV}} has any allergies, please list them below.  If not, please skip this question.

If {{answer_bUgV}} has any food allergies/sensitivities, please plan to bring a snack for him/her.  We will have a snack list for the week available at registration each morning.
 
Does {{answer_bUgV}} have any special needs we should be aware of? *

There will be a space on the next question to provide more information.

 
Please provide any specific details regarding the special need and/or assistance {{answer_bUgV}} may need.

If there are none, please skip this question.
 
Is there anything else we should know about {{answer_bUgV}}?

 
What ministries is {{answer_bUgV}} participating or interested in? *


 
I have another child to register. *

     
 
Child #5 Information

 
Child #5's First Name *

 
{{answer_J7TM}}'s Last Name *

 
{{answer_J7TM}}'s birthday is: *

 
{{answer_J7TM}} is: *


 
Does {{answer_J7TM}} have any allergies? *

Please select allergy type(s).  The next question will provide a place to describe allergies.

 
If  {{answer_J7TM}} has any allergies, please list them below.  If not, please skip this question.

If  {{answer_J7TM}} has any food allergies/sensitivities, please plan to bring a snack for him/her.  We will have a snack list for the week available at registration each morning.
 
Does {{answer_J7TM}} have any special needs we should be aware of? *

There will be a space on the next question to provide more information.

 
Please provide any specific details regarding the special need and/or assistance  {{answer_J7TM}} may need.

If there are none, please skip this question.
 
Is there anything else we should know about  {{answer_J7TM}}?

 
What ministries is {{answer_J7TM}} participating or interested in? *


 
I have another child to register. *

     
 
Child #6 Information

If you do not have a 6th child to register, please leave these questions blank and just click through.
 
Child #6's First Name *

 
{{answer_X97z}}'s Last Name *

 
{{answer_X97z}}'s birthday is: *

 
{{answer_X97z}} is: *


 
Does {{answer_X97z}} have any allergies?

Please select allergy type(s).  The next question will provide a place to describe allergies.

 
If  {{answer_X97z}} has any allergies, please list them below.  If not, please skip this question.

If  {{answer_X97z}} has any food allergies/sensitivities, please plan to bring a snack for him/her.  We will have a snack list for the week available at registration each morning.
 
Does {{answer_X97z}} have any special needs we should be aware of?

There will be a space on the next question to provide more information.

 
Please provide any specific details regarding the special need and/or assistance  {{answer_X97z}} may need.

If there are none, please skip this question.
 
Is there anything else we should know about  {{answer_X97z}}?

 
What ministries is {{answer_X97z}} participating or interested in? *


 
I have another child to register. *

     
 
Child #7 Information

If you do not have a 7th child to register, please go back to the previous question and click "no".
 
Child #7's First Name *

 
{{answer_57720310}}'s Last Name *

 
{{answer_57720310}}'s birthday is: *

 
{{answer_57720310}}  is: *


 
Does {{answer_57720310}} have any allergies? *

Please select allergy type(s).  The next question will provide a place to describe allergies.

 
If  {{answer_X97z}} has any allergies, please list them below.  If not, please skip this question.

If  {{answer_X97z}} has any food allergies/sensitivities, please plan to bring a snack for him/her.  We will have a snack list for the week available at registration each morning.
 
Does {{answer_57720310}} have any special needs we should be aware of? *

There will be a space on the next question to provide more information.

 
Please provide any specific details regarding the special need and/or assistance  {{answer_X97z}} may need.

If there are none, please skip this question.
 
Is there anything else we should know about  {{answer_X97z}}?

 
What ministries is {{answer_X97z}} participating or interested in? *


 
Thank you for registering your child(ren) for Children's Ministries or updating their information!  You should receive a confirmation email shortly.

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