Child Registration/Update Form • Rock Solid Church

Parent/Guardian Full Name (first & last) *

Email Address *

Tip: This is our main source of communication with you regarding updates and information.

Phone Number *

Mobile Number *

Mailing Address *

Mailing Address Line 2

Mailing City *

Mailing State *

Mailing Zip Code *

Home Address

Home Address Line 2

Home City

Home State

Home Zip Code

First Name *

Middle Name

Last Name *

Preferred Name

Gender *

Date of Birth *

School Grade *

Allergies

Special Instructions

Tip: Provide any special instructions of care for our children's ministry workers who may be caring for your child.