Registration Uptown – buchegg.church/en

Uptown Registration

First Name(s)

Last Name

Street

ZIP Code

City

Gender

Female

Male

Date of Birth

Mobile Number Teenager

Father’s or Mother’s First Name

Father’s or Mother’s Last Name

Email Parents

Mobile Number Parents

Which group?

Which service?

Language

German

English

Spanish

Portuguese

Yes, I agree that my data may be stored in the Buchegg Church database. It will only be used internally and treated confidentially.

Yes, I agree to receive regular emails with information from the Kids Pastor.

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