PTS (Planting The Seed), watch me grow....Youth Ministry Registration Form
Please complete this form for all child(ren) participating in PTS Children's Ministry
Childs Name:
DOB:
Gender:
Parent(s)/Guardian(s):
Home Address:
City:
State:
Zip Code:
Primary Phone Number:
Secondary Phone Number:
Email Address:
Emergency Contact Number(s):
Relationship To Child(ren):
List any known allergies and/or special needs:
Those authorized to pick up child(ren) are:
Submit