Registration Form Deep Sea Discovery Registration Form Child Information Child's Name Date of Birth Child's Age Last Grade Completed Parent/Guardian Information Parent/Guardian's Name Address —Please choose an option— Home phone Cell phone Your email Emergency Contact Allergies Special Needs Request Additional information Deep Sea Discovery Registration Form Child Information First Name Last Name Date of Birth Child's Age Last Grade Completed Parent - Guardian Information Phone Email Would you like to be added to our email list so that we may stay in touch? YesNo Would you like a call from the Pastor or an Elder (please ensure that you've entered a valid phone number above) YesNo Type Your Request Here
