Register for Saturday Venture Clubs | Crossroads Church Palm Harbor

Registration

Welcome to Legacy Kids Ministry. Please use this online form to register your children to attend our our Saturday Venture Clubs program.

Parent/Guardian(s) Name (First and Last)

Address

Child's Name (First and Last)

Child's Date of Birth

Parent Email Address

Parent Cell Phone Number

Medical or Other Important Information (Including Allergies)

Emergency Contact Name and Phone Number (If Different than Parent/Guardian)

Dismissal Information: who is allowed to pick up your child? Person(s) Name and Email:

From time to time, we take photos or videos of our activities and they may appear on our website or social media pages. We will never provide any specific information regarding minors. If you would like to withhold photo permission for your child, please check the box below.

No, I do not give Legacy Church permission to use photos or Videos of my child.

Thank you for Registering!