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2021-2022 Student Registration
Term: August 31, 2022 - May 17, 2023
*
Indicates required field
Date: (MM/DD/YYYY)
*
Child/Student
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Birthdate (MM/DD/YYYY):
*
Age:
*
Grade in 2022-2023:
*
Gender:
*
Male
Female
Preferred Phone Number
*
Preferred Email:
*
First Time Visitor?
*
Yes
No
Church You Attend:
*
MorningStar CC
Other church
We don't currently have a home church.
Church You Attend If Other:
*
Allergies or Medical Conditions:
*
A. Family Contact Information
Mother's Name:
*
First
Last
Other Parent/Legal Guardian Name:
*
First
Last
Relationship to the child/student if other:
*
Phone Number:
*
Email:
*
Father's Name:
*
First
Last
Other Parent/Legal Guardian Name:
*
First
Last
Relationship to the child/student if other:
*
Phone Number:
*
Email:
*
B. Emergency Contact Information (If Father or Mother Can't Be Reached)
Emergency Contact Name:
*
First
Last
Emergency Contact Phone Number:
*
Emergency Contact Relationship:
*
Emergency Contact Address:
*
Line 1
Line 2
City
State
Zip Code
Country
Submit
Home
About MSCC
Church Leaders
Statement of Beliefs
How to Join
Ministries
Small Groups
Grow Kids Children's Church
Children's Ministry
College & Career
No Limit Youth Ministry
Music Ministry
Events
Resources
New Members
Salvation
Giving
Facebook Live
Contact