CJCLife Church - Summer Blast Register

Child's First Name:

Last Name:

Date of Birth:

Gender:

Grade:

Parent's First Name

Last Name

Parent's Phone Number

Email

Does your child have any medical conditions we should be aware of? Yes/No. If yes, please explain:

Permission to include my child(ren) in photos and videos for website and social media purposes:
I DO - Give CJCLife Church permission to include my child(ren) in photos and videos for website and social media purposes
I DO NOT - Give CJCLife Church permission to include my child(ren) in photos and videos for website and social media purposes. I understand that during group activities my child(ren) may invadertently be in a photo and video alongside other children.

We Are Better Together

Life in Jesus starts with belonging and then leads to growth, but never outside the context of community.

We’re excited to do life with you!

Call 210) 774-6950

Text (210) 724-3353

#CJCLife