{/*OnClientClick="return btnClientRegisterClikced();"*/}
Pantry & Child Registration
First Name
Last Name
Address1
Address2
City
State
Zip Code
Email
Phone
# of Family Members
# of Children
# of Seniors
I agree to receive notifications from Decatur Bible Chapel by text or email
Please enter details for each child below by filling in the Name, DOB and Gender then click 'Add Child'
Children information
Child#
FirstName
LastName
DOB
Age
Gender
First Name
Last Name
Date of Birth
Child Gender
--
Male
Female
Add Child
Submit form