KidWorks Pre-Registration

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KidWorks
Pre-Registration

Planning A Visit?
Simplify your first visit by pre-registering your child online before you arrive.
Please register by 9pm the night before the Sunday service to ensure your
information is processed for the upcoming service.

FIRST TIME GUEST PRE-REGISTRATION

* Indicates required field

which campus will you attend? *

Lufkin Nacogdoches

which service time? *

9:30 11:15

Name *

First

Last

Date of birth (00/00/0000) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

are you the legal guardian? *

Yes No

if no: guardian's full name *

First

Last

Additional Information

Spouse Information (If Applicable)

Name *

First

Last

date of birth (00/00/0000) *

Spouses Phone Number *

1st Child

Name *

First

Last

date of birth (00/00/0000) *

Gender *

Boy Girl

age *

grade *

list allergies or special needs *

2nd Child

Name *

First

Last

date of birth (00/00/0000) *

gender *

Boy Girl

age *

grade *

list allergies or special needs *

3rd Child

Name *

First

Last

date of birth (00/00/0000) *

gender *

Boy Girl

age *

grade *

LIST ALLERGIES OR SPECIAL NEEDS *

4th Child

Name *

First

Last

date of birth (00/00/0000) *

gender *

Boy Girl

age *

grade *

list allergies or special needs *

are there any custody issues we should know about? *

Submit

A Church ANYONE Can Come To

GIVE

Services

Online
9:30am
11:15am

Contact

936-632-3540
info@lufkin.org

Address

LUFKIN
2021 S John Redditt Dr
Lufkin, TX 75904

NACOGDOCHES
3801 North Street
Nacogdoches, TX 75965

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