Jump!

Jump into God's Word at Cornerstone Baptist Church! A new, interactive learning experience for kids Pre-K through 6th grade! There will be games, music, Bible lessons, and opportunities to earn prizes! Join us Sunday mornings at 10:30 am!
Begins September 11th.
Use the form below to register your child.

Child's Name *

First

Last

Child's Age *

Child's Gender *

Male Female

Mother's Name *

First

Last

Father's Name *

First

Last

Legal Guardian *

First

Last

Phone Number *

Physical Address *

Line 1

Line 2

City

State

Zip Code

Country

Mailing Address (if different from physical address) *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Emergency Contact Name *

First

Last

Relationship to Child *

Phone Number *

Allergies *

May we photograph your child? *

Yes No

May we include your child's photo on our website? *

Yes No