Registration for children's ministry
January 10th 2010
Please register your children for the January London service before the deadline (05/01/2010). Please complete all fields stating n/a if the question is not applicable to your child. You will receive email notification of succesful registration. You will be directed to a confirmation page where there will also be a link to register another child.
First Name of child:
*
Last Name of child:
*
Boy / Girl:
*
Date of birth (dd/mm/yy):
*
Age:
*
School Year:
*
Please give details of any special needs or issues that we should be aware of or write n/a if none:
*
Name of parent or guardian:
*
Email:
*
Mobile Phone:
*
Church / Congregation:
*
Mailing list signup:
Check this box to signup for our site mailing list.
Security code:
*
Do not enter anything in this field:
*
indicates a required field
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barry_lamb@icoc.org
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