pre-register your child for a visit

C.R.E.W. Pre-Registration Form

Welcome to our Lifehouse and our kids ministry. We're glad you're here. Our team would love to serve your family and help your first visit to the C.R.E.W. an easy and painless process. To get started, please provide the following information:
* All form information is secure and will not be shared with any 3rd parties.

Child's First Name

Child's Last Name

Dad/Guardian First Name

Dad/Guardian Last Name

Mom/Guardian First Name

Mom/Guardian Last Name

Child's Date of Birth

Age

Grade

Gender

Primary Contact's Mobile Number

Address 1

Address 2

Country

City

State

Zip/Postal Code

Allergies or other Special Needs:

Has your child ever ever visited the C.R.E.W before?
This is my first time
A few times
Regular attender

Anything else you'd like to share?

Registration Agreement

Please Note: By registering your child, you a) grant permission for agents of Lifehouse Community Church to seek and secure any needed medical attention or treatment for the child(ren) named above, b) release Lifehouse Community Church its staff and volunteers, of responsibility for any accidental injury, c) grant authority to the Lifehouse Community Church leadership for the non-physical discipline of the above named children, and d) give Lifehouse Community Church permission to use photos, videos, and audio captured by our staff and volunteers that may include your child, for use by Lifehouse Community Church.

Acceptance
By checking this box you are indicating that you have read and accept the terms and conditions noted above.

Full Name of Parent or Guardian Completing This Form:

Additional Children (up to 3 more) may be registered with same form below:

(2nd Child) First Name:

(2nd Child) Last Name:

Date of Birth:

Age:

Grade:

Gender:

Allergies or Other Special Needs:

(3rd Child) First Name:

(3rd Child) Last Name:

Date of Birth:

Age:

Gender:

Allergies or Other Special Needs:

(4th Child) First Name:

(4th Child) Last Name:

Age:

Grade:

Gender:

Allergies or Other Special Needs:

Send

pre-register your child for a visit

C.R.E.W. Pre-Registration Form

Registration Agreement

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