CRSWLK Kids & Family Registration

Fill out this form to help us familiarize us with your kids and how we can serve them best

CHILD

First Name

Last Name

Birthdate

Gender

Grade

Allergies

Special Needs

PARENT/GUARDIAN

First Name

Last Name

Email

Phone Number

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

PARENTAL RELEASE

I, the undersigned, being the parent or legal guardian of the child(children) named above, do hereby consent to the participation of my child in the activities conducted by Crosswalk Church. I certify that my child is physically fit and adequately prepared to participate in children's events.

Signature