Welcome
KFC Registration 2024-2025
About Our Church
Church Info
Our Beliefs
Hall Rental
Contact Us
Our Ministries
Overview
Media
Video Library/Sunday service with Outline
Photo Albums
Treasured VBS 2021
KFC Birthday Party for Jesus
ROAR VBS 2019
Birthday party for Jesus and Jr. Church Dec 2018
One Starry Night in Bethlehem
Women's Breakfast club Painting event
Hanging of the Greens 2018
Trunk or Treat & KFC Halloween
Men's Retreat
Shipwrecked VBS
Easter Egg Hunt 2018
Chili Cook-Off 2018
Men's Appreciation Dinner 2018
Haning of the Greens 2017
Back To School Fair 2017
Maker Fun Factory VBS 2017
Easter Egg Hunt 2017
Women's Appreciation Dinner 2017
Men's Appreciation Dinner
2017 Corn Hole Tournament
Back to School Fair 2016
Cave Quest VBS 2016
Trunk or Treat 2016
KFC Christmas 2016 The Miracle of Jesus
Hanging of the Greens 2016
Older Photos
Calendar
Monthly Newsletter
Online Giving
Churches of God - Blogs and News
Narcan Training
Welcome
KFC Registration 2024-2025
About Our Church
Church Info
Our Beliefs
Hall Rental
Contact Us
Our Ministries
Overview
Media
Video Library/Sunday service with Outline
Photo Albums
Treasured VBS 2021
KFC Birthday Party for Jesus
ROAR VBS 2019
Birthday party for Jesus and Jr. Church Dec 2018
One Starry Night in Bethlehem
Women's Breakfast club Painting event
Hanging of the Greens 2018
Trunk or Treat & KFC Halloween
Men's Retreat
Shipwrecked VBS
Easter Egg Hunt 2018
Chili Cook-Off 2018
Men's Appreciation Dinner 2018
Haning of the Greens 2017
Back To School Fair 2017
Maker Fun Factory VBS 2017
Easter Egg Hunt 2017
Women's Appreciation Dinner 2017
Men's Appreciation Dinner
2017 Corn Hole Tournament
Back to School Fair 2016
Cave Quest VBS 2016
Trunk or Treat 2016
KFC Christmas 2016 The Miracle of Jesus
Hanging of the Greens 2016
Older Photos
Calendar
Monthly Newsletter
Online Giving
Churches of God - Blogs and News
Narcan Training
Address:
7968 U.S. 23,
Risingsun, OH 43457
Phone:
419-457-3971
Pastor:
Paul J Rutledge
Email:
[email protected]
Kids For Christ Registration
*
Indicates required field
Child's Name
*
First
Last
What grade is your child in?
*
Pre-School
Kindergarten
1st. grade
2nd. grade
3rd. grade
4th. grade
5th. grade
6th. grade
Jr. High (7th.-8th.)
High School (9th.-12th.)
Parents Name
*
First
Last
Phone Number
*
Cell Phone
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Emergency Contact & Phone number
*
Relationship to you?
*
Medical Authorization To Grant Consent
Physician & Phone number
*
Local Hospital
*
In the event reasonable attempts to contact me have been unsuccessful, I hereby give my consent for the administration of any treatment deemed necessary by the above name doctors, or, in the event the designated preferred practitioner is not available, by another licensed physician or dentist and the transfer of the child to any hospital reasonably accessible. This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists, concurring in the necessity for such surgery, are obtained prior to the performance of such surgery.
*
Yes
No Refusal to Consent
if you check "no" you are not giving consent for emergency medical treatment
Facts concerning the child’s medical history, including allergies, medications being taken and any physical impairments to which a physician should be alerted.
*
yes
no
Church Bus Authorization
If Yes- List Allergies, Medications being take.
*
If you have a Risingsun or Bradner address the church bus would be able to pick up your child (children) if you live outside the Risingsun/Bradner area, Please contact us and we will evaluate bus transportation for you. Please contact us by email -
[email protected]
or call 419-457-3971.
Do You need Transportation?
*
Yes
No
If yes, please fill out the location for pick up and drop off
Location for bus pick up
*
Location for bus drop off
*
Submit
Welcome
KFC Registration 2024-2025
About Our Church
Church Info
Our Beliefs
Hall Rental
Contact Us
Our Ministries
Overview
Media
Video Library/Sunday service with Outline
Photo Albums
Treasured VBS 2021
KFC Birthday Party for Jesus
ROAR VBS 2019
Birthday party for Jesus and Jr. Church Dec 2018
One Starry Night in Bethlehem
Women's Breakfast club Painting event
Hanging of the Greens 2018
Trunk or Treat & KFC Halloween
Men's Retreat
Shipwrecked VBS
Easter Egg Hunt 2018
Chili Cook-Off 2018
Men's Appreciation Dinner 2018
Haning of the Greens 2017
Back To School Fair 2017
Maker Fun Factory VBS 2017
Easter Egg Hunt 2017
Women's Appreciation Dinner 2017
Men's Appreciation Dinner
2017 Corn Hole Tournament
Back to School Fair 2016
Cave Quest VBS 2016
Trunk or Treat 2016
KFC Christmas 2016 The Miracle of Jesus
Hanging of the Greens 2016
Older Photos
Calendar
Monthly Newsletter
Online Giving
Churches of God - Blogs and News
Narcan Training