Upfront Generation
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NC COGOP
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Int’l Children's Ministries
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2019 NC Kids Convention Registration
*
Indicates required field
Name
*
First
Last
Please list each child individually.
Age
*
Church Home
*
Children’s Minister/Pastor
*
Please tell us who ministers to your child(ren).
Parent(s)/Guardian(s) Name(s):
*
First
Last
Email
*
Contact Number during State Convention
*
Alternate Emergency Contact
*
First
Last
Relationship
*
Phone Number
*
Authorized to Pick Up (Other than Parents)
*
First
Last
Please list any allergies, medical conditions, physical or developmental challenges our staff should be aware of to better understand and meet the needs of your child.
*
My child has permission to be photographed during Children’s Ministry activities for Church of God of Prophecy media only.
*
Yes
No
Additional Comments
*
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Home
About
Contact
NC COGOP
NC Youth
Int’l Children's Ministries
NC Summer Camp