Crosspoint Kids Security Registration Form We are so excited to welcome your child. To keep your child safe, we have a security system. To register your child in our programs and security system, please complete this form. Once your registration is processed, you simply enter the last 4 digits of your home phone number (as you enter it below) at one of our kiosks to check in your child(ren). Two ways to register: 1) Via the internet below. Due by Wednesday 1:00 p.m., prior to the weekend you plan to attend. 2) In person. Miss the Wednesday deadline? Fill out the form and submit, and we will email you a document to print and bring with you to the Kids Welcome Desk, OR upon arrival, you can fill out the form. (Early arrival recommended.) * required fields Type Registration:*NewUpdatedThis form will register/update your child's information for Saturday/Sunday services as well as Wednesday night programs. Please indicate additional programs in which you would like to enroll your child:MOPSWOWFather's/Guardian's Full Name* First Last Father's/Guardian's Cell Phone*Father/Guardian's Cell Phone Carrier*Father's/Guardian's Email* Mother's/Guardian's Full Name* First Last Mother's/Guardian's Cell Phone*Mother/Guardian's Cell Phone Carrier*Mother's/Guardian's Email* Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Main Phone*This will be the phone number that you use the last four digits to check your children into the building.CHILD 1Child 1:Name* First Last Child 1:Birthdate* MM DD YYYY Child 1:2018-2019 GradeChild 1: Allergies/Medical Conditions/Special NeedsChild 1:GenderMaleFemaleCHILD 2Child 2:Name First Last Child 2:Birthdate MM DD YYYY Child 2:2018-2019 GradeChild 2: Allergies/Medical Conditions/Special NeedsChild 2:GenderMaleFemaleCHILD 3Child 3:Name First Last Child 3:Birthdate MM DD YYYY Child 3:2018-2019 GradeChild 3: Allergies/Medical Conditions/Special NeedsChild 3:GenderMaleFemaleOne or more of my children attends Crosspoint Academy*YesNoNOTE: If you have more than three that are 4th grade and under, please first submit these above by clicking the "submit" button below, and then return to this page to submit a new form for other children.By entering Crosspoint Kids Ministry, you are giving permission for photos and videos to be taken and used for Crosspoint publicity purposes.Captcha This iframe contains the logic required to handle Ajax powered Gravity Forms.