2019-2020 Kids Adventure Klub Registration
For Children ages 3 years old (by Sept. 1, 2019) through 5th Grade
*** One Child per Registration Form***
Material fee payment of $40 can be dropped off at the Children's Ministry Check-in desk on Sundays
Last Name: *
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First Name: *
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Parent's Last Name: *
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Parent's First Name(s): *
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Parent email address: *
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Address: *
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City, State: *
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Zip Code: *
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Phone: *
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Emergency Contact Name: *
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Emergency Contact Phone Number: *
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Child's Birth Date: *
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Grade (Fall '19): *
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Gender:
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School Name:
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Medical Conditions/Allergies/Special Needs:
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KAK Session Child will attend: *
My child has taken their first communion and would like to receive communion on Sundays.
Check in at Children's Ministry Desk in Connections Cafe each week!! Children begin in worship and will be dismissed following children's message. Material fee per year: $40 per student. Payable at the Children's Ministry Desk on Sunday mornings.
I would like to receive the Dig In @ Home resource via email *
Required
Photo Release / Waiver - As a participant in this program, I understand that the Children's Ministry Team photographs and/or videotapes activities to be used in publicizing ministry and projects within the congregation and on the Joy! Website. In registering for this program I agree to the above. *
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