Kids Check-In Pre-Registration

At CCC Kids, our goal is to provide a safe and exciting environment for your kids to learn about Jesus. To ensure a quick and smooth first visit to CCC Kids Ministry, please use the form below to pre-register your kids.

*indicates required data

Parent Information

First Name* Last Name* Mobile Number* Email*

How many children to register?*

Child Information

Child First Name* Child Last Name* Date of Birth* Gender* Grade Alergies

Household Information

Address* Address Line 2 City* State* Zip* Home Phone In the event of an emergency, I authorize first aid and/or medical treatment for this child and I release Christ Community Church from any and all responsibility in connection therewith.