Brook Kids Virtual Small Groups
Please fill out this form and click submit.
Child Registration
Child's Name
Gender
Please select one option.
Male
Female
Select Option
Male
Female
Birthday (MM/DD/YYYY)
Age/Grade Level
Please select one option.
2 yrs old
3yrs
4yrs
5yrs (Pre-Kindergarten)
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Select Option
2 yrs old
3yrs
4yrs
5yrs (Pre-Kindergarten)
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Parents' Name(s)
Phone
Email
This address will receive a confirmation email
Do you have a computer or smart device to log into Virtual Small Groups?
Are you A Member of Fallbrook Church?
Please select one option.
Yes
No
Select Option
Yes
No
May we have permission to photograph your child?
Please select one option.
Yes
No
Of course!
Select Option
Yes
No
Of course!
Do you Follow Fallbrook Children's Ministry on Social Media?
Please select one option.
Yes
No
I'm Not Sure
Select Option
Yes
No
I'm Not Sure
Submit
Description
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