World Overcomers Christian Church:: Durham, North Carolina

Welcome to the Overcomer Kids Event Pre-Registration Page. We appreciate you taking time to fill out this form. These few minutes will improve the level of care that your children receive during the event you are attending. We need this information to ensure that we have adequate staffing and snacks* for your child(ren). PLEASE NOTE: THERE IS A FEE OF $3 PER CHILD.

New Childcare Registration

Parent Name *

(Last Name, First Name)

Email Address *

Contact Phone Number *

Text Messaging

Yes

May we text you?

Mobile Carrier *

Child #1 Name *

Child #1 Allergies Info *

Yes

Does your child have allergies?

Child # 1 Age *

Please list Birthdate and Grade. (MM/DD/YYYY)

Child #1 Allergies Description

Please list your child's allergies.

Child #2 Name

Please list Birthdate/Grade. (MM/DD/YYYY)

Child #2 Allergies Info

Does your child have any allergies, if YES, please list.

Child #3 Name

Child #3 Age

Please list Birthdate/Grade (MM/DD/YYYY)

Child #3 Allergies

Does your child have allergies? If YES, please list.

Child #4 Name

Child #4 Age

Please list Birthdate/Grade (MM/DD/YYYY)

Child #4 Allergies

Does your child have allergies? If YES, please list.

Do you have more than 4 children?

Yes

If so, you will be contacted to get information for your additional children.

Which event do you need care for? *

Does your child have a disability? If so, list the child(rens) name(s) and disability.

* Please note we do not serve snacks during child care for every event.*