Roots Children’s Ministry Register For Roots Child's Name * First Name Last Name Child's Birthday * MM DD YYYY Guardian Name(s) First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Email * Are You On Facebook? * Yes No Best Way To Reach You * Does Your Kiddo Have Allergies? * Yes No If So, What? * Is There Anything You'd Like Us To Know About Your Kiddo(s)? In an effort to keep you updated on what our kids are learning, we may post pictures and content to our Roots Facebook Page each week. Please check to let us know if you are ok with your child being included in these posts. * Yes No Thank you!
