Crossroads Church & Ministries

We're glad to get connected!

First Name

Last Name

Phone Number

Household Address

Apartment, suite, etc.

City

State

Postal / Zip Code

Birthday and Grade are required for children to check into CRKids and CRYouth

Birthdate

Gender

Grade (children only)

Program selection (if applicable)

Nursery (6 months - 3 years)

CRKids (PreK-K, 1-2nd Grade, and 3-5th Grade Classrooms)

CRYouth (6th - 12th Grade)

If you have another person in your household, please click "Add another person" below. This button repeats the section above.

Allergy and classroom information will be available to edit for each child during the Check-In process once this form has been submitted.

Adults approved for CRKids pick-up