Bus Rider Registration | First Pentecostal Church of Sulphur

Name (Required)

Email Address (Required)

What's the best mobile number to reach you? (Required)

Please add another emergency contact.

Please supply a separate contact for emergencies, in case the main number does not answer.

Tell us about the child(ren) who will be riding the bus.

Child(ren) Information

Please include all children’s names and ages here.

Where can we pick up the child(ren)? (Required)

Special Instruction

...needs supervision, is very shy,...

Allergies or Medical Info

Please put the child’s name with any medical conditions.

I give permission for First Pentecostal Church of Sulphur to pick up and transport the above-named child(ren) to and from KidVenture, located at 606 W. Parish Road, for church services and scheduled activities. (Required)

Solve 7 + 6 = ?

FIRST PENTECOSTAL CHURCH OF SULPHUR

606 W. Parish Road Sulphur, LA 70663

(337) 532-7657

office@firstpentecostalsulphur.com

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