Calvary Baptist Church: Awakening Weekend
Child Care Registration
You Must Fully Complete all answers before submitting this form *

Enter your child's name (First & Last) [Mandatory] *

When is your child's birthday? *

Please list your child's allergies, medical issues, and/or medications: *

Parent's Contact information:

Name: *

Address: *

Emergency Phone Numbers: *

Email: *

Please list the parent(s) names who are picking the child up: *

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