[contact-form][contact-field label=”Child’s Name” type=”name” required=”1″ /][contact-field label=”Invited By” type=”text” /][contact-field label=”Child’s Age” type=”select” options=”3,4,5,6,7,8,9,10,11,12,13″ required=”1″ /][contact-field label=”Grade Entering In Fall” type=”select” options=”PreK,K,1st,2nd,3rd,4th,5th,6th,7th,8th” required=”1″ /][contact-field label=”Parent/Guardian Name” type=”text” required=”1″ /][contact-field label=”Address” type=”text” required=”1″ /][contact-field label=”City” type=”text” required=”1″ /][contact-field label=”State” type=”text” required=”1″ /][contact-field label=”Phone Number” type=”text” required=”1″ /][contact-field label=”Email Address” type=”text” required=”1″ /][contact-field label=”Home Church” type=”text” /][contact-field label=”Person Registering Child” type=”text” required=”1″ /][contact-field label=”Relationship to Child” type=”text” required=”1″ /][contact-field label=”Emergency Contact Name” type=”text” required=”1″ /][contact-field label=”Emergency Contact Phone” type=”text” required=”1″ /][contact-field label=”Any Other Person Who May Take the Child Home” type=”text” /][contact-field label=”Allergies” type=”text” /][contact-field label=”Additional Information” type=”text” /][contact-field label=”I understand that photos will be taken and may be put on the church website and/or Facebook page.” type=”checkbox” required=”1″ /][contact-field label=”Signature” type=”name” required=”1″ /][/contact-form]