TKA Registration
Trinity Kids Academy Registration Form
Date Received *
Your answer
Child's Full Name *
Your answer
Child's Nickname
Your answer
Date of Birth *
Your answer
Gender *
Your answer
Name of Mother / Father or Guardian *
Your answer
Place of Employment *
Your answer
Work Phone *
Your answer
Mother / Father or Guardian Cell Phone *
Your answer
Cell Provider *
Your answer
Home Phone
Your answer
Home Address *
Your answer
E-mail
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
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