Skip to main content
Purpose & Mission
Pastor Bhen Andaya
The Gideons International
Operation Christmas Child
Child Registration Form
Please complete the full form and submit.*Each child will need an individual registration form completed. For children to participate in children's ministry, registration form has to be completed. For our annual registration all re-registrations are due February 2nd. Thank you for partnering with us in making sure we are creating the safest environment for the children. Updated registration also helps in making sure we can be in contact with parents and caregivers.
Child's Name (first & last)
If answered "yes" to allergies please explain here
Any Behavioral Emotional Developmental information that would be helpful for the staff to know?
Any Behavioral Emotional Developmental Information that would be helpful for staff to know
If answered "yes" to Any Behavioral Emotional Developmental Information that would be helpful for staff to know. Please describe below.
Parent (s)/Caregiver(s) Name (first & last)
Do not enter anything in this field:
indicates a required field
Please fill this field.
House Church Ministries
1412 W. Central Ave., Spokane, WA 99205
PH: (509) 270-8252
©2014 - All Rights Reserved - powered by