Redeemer Christian Church
THE BODY! Kids Adventure Week 2025
Registration Form

Registration Form for Children attending THE BODY 2025
Grades: Kindergarten - 5th Grade
July 21-24, 2025 @ Redeemer Christian Church, Marshfield, WI

Child Information

First Name

Last Name

Date of birth

Gender

Allergy Information (if multiple children are added, put first name in parenthesis.

Special Needs

Does your child(red) require:

Asthma Inhaler

Epinephrine Auto-Injection (EpiPen)

Other Medication

List other medication (separate with comma)

Parent/Guardian Information

First Name

Last Name

Email

Phone Number

Date of birth

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

Gender

Marital Status

Are you, or your a spouse a pastor?

Yes

No

Add Additional Parent/Guardian

Yes

No

First Name

Last Name

Email

Phone Number

Date of birth

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

Gender

Marital Status

Parent/Guardian 2 is Authorized to Pick-up Child(ren)

Yes

No

Do you or a family member attend a church in Marshfield, WI?

Yes

No

Church You/Your Family Attends

Add additional Authorized Adult for Pick-up?

Yes

No

Additional Authorized Adults for Pick-up

First Name

Last Name

Email

Phone Number

Date of birth

Gender

You will receive a confirmation upon submitting this registration form. This confirmation will contain a link for payment, registration is not complete until payment is remitted. If you have any questions contact RCC at 715.384.2760 or by email at info@rccmarshfield.org

Clicking the 'payment link' above opens a new tab or window, then you can submit this form. Don't forget to submit this form, otherwise all your data will have to be re-entered.

Signature

Redeemer Christian ChurchTHE BODY! Kids Adventure Week 2025Registration Form

Child Information

Parent/Guardian Information

Additional Authorized Adults for Pick-up

Redeemer Christian Church
THE BODY! Kids Adventure Week 2025
Registration Form