IMPACT Kidz Ministry

We are currently updating our church database so please fill out each box with the correct information. Also for security purposes, we are asking for a photo of your child that will be inserted into our database and will print out on your child's name tag.

Thanks,
IMPACT KIDZ Staff
Parent/Guardian Information

 
 
 
 
 
 
 
 
 
 
 
 
Please select one option.
Please select one option.
Children Information

 
 
 
Please select one option.
 
 
 
 

 
 
 
Please select one option.
 
 
 
 

 
 
 
Please select one option.
 
 
 
 

 
 
 
Please select one option.
 
 
 
 

Description

We are currently updating our church database so please fill out each box with the correct information. Also for security purposes, we are asking for a photo of your child that will be inserted into our database and will print out on your child's name tag.

Thanks,
IMPACT KIDZ Staff