All information is kept confidential and is used solely to serve the kids and parents of Abundant Life Christian Fellowship with more speedy and secure check-in procedures. All registrations must be recieved by the Thursday prior to your visit to ensure data entry. You will receive an email confirming your registration. Thank you.
Father 's Full Name

Mother's Full Name

Guardian's Name

Household address

City

Zip code

State

Household phone number

Additional Numbers ( Mobile, Work)

Parent's/ Guardian's Email address

Child's First Name

Middle Name

Last Name

Gender

Childs Birthdate

What grade is your child in?

Please List any Allergies, special needs, medications that would help the Safari Kids Staff best meet the needs of your child.

PLEASE LABEL ALL PERSONAL ITEMS OR THEY WILL BE LABELED FOR YOU IN BLACK MARKER . Thank you