Contact Us  
 

Please fill out the form below to register your child for KIDS Crusade. If you are registering more than one child, please fill out a separate form for each individual.
KIDS Crusade is June 29th - July 3rd from 6:30 pm - 9:00 pm for ages 6 years to 6th grade.



Child's Name :
 
   
Birthdate :
 
   
Address :
 
   
City, State, Zip :
 
   
Phone :
 
   
Parent's Name :
 
   
Medical Information :
 
   
Permission to Pick Up :
 
   
Additional Information :
 
     
  


 
     
© 2009 Spotsylvania Church of God • 12240 Five Mile Road • Fredericksburg, VA 22407