Living Water Church - Child Sign Up

Full Name of Child

Birthdate of Child

Name of Parents

Street Address

PO Box (if applicable)

Country

City

State

Zip/Postal Code

Email Address

Phone Number

Select a Campus
Dalton Campus
Massillon Campus

Select a Service Time
9:00am Dalton
9:00am Massillon
10:30am Dalton
10:30am Massillon

Anything else you'd like to share?

Child Dedication