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PCKids | Family Profile
Welcome to Port City Kids! Completing this form will provide us with all the necessary information to make your family's first visit to Port City Church as easy as possible.
Your name
*
Last name
Email address
*
Birthdate
Date
Primary campus
*
Select…
Cloverville Campus | Port City Church
Eastside | Port City Church
McGraft Campus | Port City Church
Online Community | Port City Church
Thursdays - Clovervillle | Port City Church
Address
*
Home
Work
Other
Country
Country
Street address
Apt/unit/box (optional)
City
State
Postal code
Gender
Select…
Male
Female
Phone number
Phone type
Mobile
Home
Work
Other
Household members
+ Add adult
+ Add child
Media Release
I grant Port City Church, its representatives, and employees the right to take photographs, video and/or electronic images of any of my family in the Children and Student environments. I authorize Port City Church to copyright, use and publish photographs, video and/or electronic images in print and/or electronically - with or without names - for any lawful purpose to highlight and promote the Children and Student environments. If you have any questions or cannot agree to this release, please contact daytona@weareportcity.com to complete registration at our McGraft Campus; and danielle@weareportcity.com at our Cloverville Campus.
Select…
Yes
No
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