Platform Admin
Skip to content
Groups
Events
Check-In
Log in
Kids Church Family Registration
If you are a parent or guardian, please provide your contact information first.
Then add additional adults (i.e. spouse or partner)
Finally, list the information for each child in your household (Baby - 5th Grade).
Your name
*
Last name
Email address
*
Phone number
*
Phone type
Mobile
Home
Work
Other
Gender
*
Select…
Male
Female
Birthday
*
Date
Marital status
*
Select…
Single
Married
Widowed
Divorced
Separated
Address
*
Home
Work
Other
Country
Country
Street address
Apt/unit/box (optional)
City
State
Postal code
Household members
Please add adult spouse/partner (if applicable)
Then add child/children as individuals (if more than 1 is applicable)
+ Add adult
+ Add child
Video + Photo Release
During Kids Church activities, photographs, audio recordings, and videos may be taken by Calvary Chapel Costa Mesa and used for future publicity. I give permission for such content depciting my child captured during the activity to be used for the purposes of CCCM, including in promotional materials and publications and I waive any rights of compensation or ownership thereto. I understand I will no be paid royalties or other compensation and I forfeit any rights I may have to payment if such photos, videos, or recordings are published. I agree that any media depicting my child during his or her participation in the activity is the sole property of CCCM.
No oral representatives, statements, or inducements have been made by or between the parties to this Agreement with respect to the subject matter of this Agreement apart from the matters set forth within this Agreement.
In signing this Agreement, I hereby acknowledge and represent that I have read this entire document, that I understand its terms and provisions, that I understand it affects my legal rights and those of mu child, that it is a binding Agreement, and that I have signed it knowingly and voluntarily.
If you have questions or would like to speak to a team member about photo and video usage of your child/children, please email Kellyrae Meadows: kmeadows@cccm.com.
I acknowledge that I have read the Video + Photo release.
*
Would you like to be added to our e-bulletin and weekly Kids Church Lesson information?
*
Kids Church lesson information includes a Parent Overview, Family Talking Points, a link to the Bible Story Video, Family Activity Ideas, Prayer Prompts, and a Key Verse Worship Song. We also invite you to join our Facebook Group to stay connected and see what’s happening in Kids Church.
Yes! Sign Me Up!
No, not at this time
Date
*
Date
Submit
Church Center requires JavaScript to be enabled.
Here are some
instructions to enable JavaScript in your web browser
.