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About Us
Connect
Next Steps
- Baptism
- Membership
- Serve
Watch
Events
Ministries
Give

Real Life Kids Registration

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Fields with an * are required.

First Child's Name *

First Child's Gender *

First Child's Birth Date *

First Child's Grade *

Second Child's Name

Second Child's Gender

Second Child's Birth Date

Second Child's Grade

Third Child's Name

Third Child's Gender

Third Child's Birth Date

Third Child's Grade

Fourth Child's Name

Fourth Child's Gender

Fourth Child's Birth Date

Fourth Child's Grade

Fifth Child's Name

Fifth Child's Gender

Fifth Child's Birth Date

Fifth Child's Grade

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The parental information below is only for those who live with the child(ren) listed above.

Name: Dad / Stepdad / Guardian

Cell #

Preferred Email

Name: Mom / Stepmom / Guardian

Cell #

Preferred Email

Marital status of above individual(s) *

Single

Married

Widowed

Divorced

Address for child(ren) *

City *

State *

Zip code *

Additional Notes:

May we have permission to photograph and display photographs of your child(ren)? *

Yes

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NOTE: Infants thru 6th graders MUST be picked up at the classroom by an individual 16 years or older with matching security badge.

If you lose security badge, return with photo ID to the Welcome Dock or Welcome Hut for a reprint of badge.

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If you did not receive a successful submission message after clicking "Submit," make sure all required fields are filled in.

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ABOUT

QUICK LINKS

RightNow Media | Video Library

NEXT STEPS

mail@lifespring.church

13904 S 36th St, Bellevue, NE 68123

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