Kids Connexion Registration
Wednesdays after school until 5:00pm
beginning September 16, 2020

Frederick First United Methodist Church
301. E. Grand Ave (12th & Grand)
335-7505 or
Email address *
Child's Name (First & Last) *
Child's Grade *
Parents'/Guardians' Name(s) (First & Last) *
Phone numbers *
Address *
Emergency contact (name & phone) *
Does your child need transportation to the church after school? *
How will your child get home? *
Who has permission to pick up your child? (Please list more than one name.) *
Food or other allergies?
Anything else we need to know?
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