River Kids Registration Name * First Name Last Name Email * Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Child's Name * First Name Last Name Child's Age * <1 1 2 3 4 5+ Child's Name First Name Last Name Child's Age <1 1 2 3 4 5+ Special Notes * (Allergies, etc.) Do you have a pastor? Yes No Would you like our pastor to contact you? Yes No What could River of Life do to serve you or our community? Thank you for registering for River Kids! We can’t wait to see you!
