The Ark - Child registration

The Ark is designed to serve children with special needs in a way that shows God's love uniquely to each child. In order to help the team best minister to your child and to your family, please fill out the following questions with as much detail as possible. 

The Ark is designed to minister to children aged 2-12. Special accommodations may be made for children over the age of 12 with prior approval. Please contact Felicia, the director for The Ark, at felicia@crcbelton.com with any questions.
Date

Child Medical Information

Please fill out to the best of your ability. The more we know, the better we can serve you.

Behavioral Information

Food and Allergy Information

Additional Information

Parent/Guardian approval

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