Childrens Worship Registration — MCOC

New Guest Households

Welcome to Melbourne Church of Christ Children’s Worship! We are so happy to have you here! Please complete this form so we have a record of all kids in attendance. We will use this information to contact you in case of emergency. Please be sure to include any food allergies in the medical note section.

Registering Adult

First Name

Last Name

Email

Phone

(###)

###

####

Child One

First Name

Last Name

Grade entering in the fall

Medical Notes

Child Two

First Name

Last Name

Grade entering in the fall

Medical Notes

Child Three

First Name

Last Name

Grade entering in the fall

Medical Notes