Redeemer Christian Church
RUN! Kids Adventure Week 2024
Registration Form

Registration Form for Children attending RUN! 2024
Grades: Kindergarten - 5th Grade
August 5-8, 2024 @ Redeemer Christian Church, Marshfield, WI

Child Information

First Name

Last Name

Date of birth

Gender

T-Shirt Size

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 ChurchRUN! Kids Adventure Week 2024Registration Form

Child Information

Parent/Guardian Information

Additional Authorized Adults for Pick-up

Redeemer Christian Church
RUN! Kids Adventure Week 2024
Registration Form