Spotsylvania Church of God :: Fredericksburg, VA

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 :