Noah's Ark Registration

Station 16 K.I.D.S. Kids Involved in Discovering Scripture1

Sundays at 10:05am or Wednesdays at 5:15pm

(Registration due August 23rd)

Child’s Name: Age:
Child’s Name: Age:
Child’s Name: Age:
Parent/Guardian’s Name: Phone:
Address: Cell Phone
City:    
ZIP:    
E-Mail:    
If you wish to be notified of program dates, etc by email instead of snail mail, please check here.
Additional parent information if different from above:
Parents Name: Phone:
Street Address: Cell Phone:
Email Address:    
 
Individual needs: (toileting, allergies, disabilities, medications, behavior concerns)
Noah’s Ark Time Preference:
Noah’s Ark Time Preference
Sunday 10:05 am Wednesday 5:15 pm
Noah's Ark Teacher Registation
I am willing to teach a Noah’s Ark class Age Sunday Wednesday
I am willing to be a classroom helper Sunday Wednesday