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Event: Family Ministry 2023-24 REGISTRATION

Date: Sunday, Mar 31, 2024

Time: 11:35 PM — 11:40 PM

Ticket(s):	One Participant - $60.00
	Two Participants - $120.00
	Family Price - $150.00
	One Participant - $40.00
	Two Participants - $80.00
	Family Price - $100.00
	ONLY Childcare - FREE
	ONLY Praise Choir - FREE

Venue:

13801 Fairview Drive ,
Burnsville, MN 55337

Registration Form Only, disregard the date/time shown on this page.
Fall programming begins Sunday, September 10 or Wednesday, September 13, 2023.

Contact(s):

Dawn Ridgway
dridgway@popmn.org

Fill up the form and click Next to go to next step.

Ticket Type

One Participant - $60.00 Registration ended

Two Participants - $120.00 Registration ended

Family Price - $150.00 Registration ended

One Participant - $40.00

Two Participants - $80.00

Family Price - $100.00

ONLY Childcare - FREE

ONLY Praise Choir - FREE

Promo Code

Personal Information

FAMILY INFORMATION

First Name *

Last Name *

Address *

City *

State *

Zip *

Parent/Guardian #1 Cell *

Parent/Guardian #1 Email *

Home Church *

Parent/Guardian #2 First Name

Parent/Guardian #2 Last Name

Parent/Guardian #2 Cell

Parent/Guardian #2 Email

Parent/Guardian #2 Address (if different)

Parent/Guardian #2 City/State/Zip

Child(ren) resides with *

Both parents

Mother

Father

Other

If other, please explain housing situation and relationships.

REGISTRATION INFORMATION

POP PreK is offered only on Sunday mornings. Small groups will take place in CDLC Preschool.

POP Kids (Kind - Gr 5) small groups are assigned based on grade level but at times we will combine K-1, 2-3 and 4-5.

POP StuMin (Gr 6-12) small groups are assigned based on grade level but at times we will combine grades 6-8 and 9-12.

After each child's registration, there's the opportunity to share any information that will help staff create a welcoming and encouraging faith experience.

Please let us know about diagnoses or any other information that you'd like staff and leaders to be aware of.

Child (1) First Name *

Child (1) Last Name *

Child (1) Grade *

Child (1) School Name *

Child (1) Birthdate *

Child (1) Gender *

Child (1) Allergies (food, bee stings, medication, etc)

Child (1) Unique Information

Child (1) Friend/Leader Request

(1) Childcare (no fee, donations appreciated)

Saturday Worship (5:30 pm)

Sunday Worship (9:00 or 10:30 am)

Wednesday (5:00 - 7:00 pm)

(1) Preschool (select age group)

3 - 4 yrs Sunday 10:30 - 11:30 am

4 - 5 yrs Sunday 10:30 - 11:30 am

(1) Kindergarten - Grade 5

Sunday 10:30 - 11:30 am

Wednesday 6:00 - 7:00 pm

(1) Praise Choir K - Gr 5 (no fee, donations appreciated)

Sunday 10:00 - 10:30 am

Wednesday 5:15 - 5:45 pm

(1) StuMin Worship & Small Groups

Wednesday 7:00 - 8:30 pm

Child (2) First Name

Child (2) Last Name

Child (2) Grade

Child (2) School Name

Child (2) Birthdate

Child (2) Gender

Child (2) Allergies (food, bee stings, medication, etc)

Child (2) Unique Information

Child (2) Friend/Leader Request

(2) Childcare (no fee, donations appreciated)

Saturday Worship (5:30 pm)

Sunday Worship (9:00 or 10:30 am)

Wednesday (5:00 - 7:00 pm)

(2) Preschool (select age group)

3 - 4 yrs Sunday 10:30 - 11:30 am

4 - 5 yrs Sunday 10:30 - 11:30 am

(2) Kindergarten - Grade 5

Sunday 10:30 - 11:30 am

Wednesday 6:00 - 7:00 pm

(2) Praise Choir K - Gr 5 (no fee, donations appreciated)

Sunday 10:00 - 10:30 am

Wednesday 5:15 - 5:45 pm

(2) StuMin Worship & Small Groups

Wednesday 7:00 - 8:30 pm

Child (3) First Name

Child (3) Last Name

Child (3) Grade

Child (3) School Name

Child (3) Birthdate

Child (3) Gender

Child (3) Allergies (food, bee stings, medication, etc)

Child (3) Unique Information

Child (3) Friend/Leader Request

(3) Childcare (no fee, donations appreciated)

Saturday Worship (5:30 pm)

Sunday Worship (9:00 or 10:30 am)

Wednesday (5:00 - 7:00 pm)

(3) Preschool (select age group)

3 - 4 yrs Sunday 10:30 - 11:30 am

4 - 5 yrs Sunday 10:30 - 11:30 am

(3) Kindergarten - Grade 5

Sunday 10:30 - 11:30 am

Wednesday 6:00 - 7:00 pm

(3) Praise Choir K - Gr 5 (no fee, donations appreciated)

Sunday 10:00 - 10:30 am

Wednesday 5:15 - 5:45 pm

(3) StuMin Worship & Small Groups

Wednesday 7:00 - 8:30 pm

Child (4) First Name

Child (4) Last Name

Child (4) Grade

Child (4) School Name

Child (4) Birthdate

Child (4) Gender

Child (4) Allergies (food, bee stings, medication, etc)

Child (4) Unique Information

Child (4) Friend/Leader Request

(4) Childcare (no fee, donations appreciated)

Saturday Worship (5:30 pm)

Sunday Worship (9:00 or 10:30 am)

Wednesday (5:00 - 7:00 pm)

(4) Preschool (select age group)

3 - 4 yrs Sunday 10:30 - 11:30 am

4 - 5 yrs Sunday 10:30 - 11:30 am

(4) Kindergarten - Grade 5

Sunday 10:30 - 11:30 am

Wednesday 6:00 - 7:00 pm

(4) Praise Choir (no fee, donations appreciated)

Sunday 10:00 - 10:30 am

Wednesday 5:15 - 5:45 pm

(4) StuMin Worship & Small Groups

Wednesday 7:00 - 8:30 pm

EMERGENCY CONTACT - if parent(s) cannot be reached

Emergency Contact First & Last Name *

Emergency Contact Cell *

Relationship to family (grandparent, neighbor, etc) *

I have read, discussed with my child(ren), and agree to the attached liability release and behavior agreement. *

Yes

Liability Release and Behavior Agreement *

Liability, Permission and Behavior Agreement 2023_24.pdf

If you would like to make a donation toward Family Ministry Scholarships you may do so on the next screen. Thank you for your generosity!

I want to be reminded

How many days before the event occurs would you like the reminder to be sent?

Enter number of days before the event occurs to receive reminder

Receipt Message