your name*

How many children are you registering?*

Name of your first child*

Allergies

Name of your second child

allergies

Name of your third child

allergies

your e-mail address*

Confirm email*

Contact tel. number*

* required fields

If this is your first registration would you like to be added to our growing database? (check this box)

We are required to confirm your data preferences every two years. If you no longer wish to be included on our Messy church database please check this box and add your e-mail address below.