Kidz Klub Parent/Guardian Permission Form
Kidz Klub is a FREE Bible club led by Christian volunteers that meets in your child's school for one (1) hour one (1) day a week. We emphasize the importance of making good decisions in school, at home, and in life through Biblical teachings.

Kidz Klub is a fun after school club affiliated with several local ministries of Martin County. We wish to thank you for allowing us to serve you, your school and your child! You are welcome to learn more about us by going online at www.tc3.org.

Kidz Klub is a privilege, and appropriate behavior is expected in order to attend.

Please allow 1 full week for your application to process before you allow your child to begin attending Kidz Klub.

Kidz Klub wishes to thank you!!

NOTE: This is not sponsored by the School District in which your child attends.

School *
Child's Last Name *
Your answer
Child's First Name *
Your answer
Gender *
Required
Child's Grade *
Child's Teacher (FAWE)
Click on the drop-down menu and select your child's teacher.
Child's Teacher (JBE)
Cllick on the drop-down menu and select your child's teacher
Child's Teacher (Mariposa)
Cllick on the drop-down menu and select your child's teacher
Child's Age *
Child's Birthdate *
MM
/
DD
/
YYYY
Parent/Guardian Name (First and Last) *
Your answer
Address (house number and street) *
Your answer
Apt. #
Your answer
City *
Zip Code *
Your answer
Phone Number (for parent/guardian listed above) *
Please provide a number where you can be reached during club time.
Your answer
Alternate Contact Name *
Please provide information for a second contact in case you cannot be reached during club time.
Your answer
Alternate Contact Relationship to Child *
(i.e. parent, grandparent, friend)
Your answer
Alternate Contact Phone Number *
Your answer
Parent/Guardian E-mail
This will be our primary means of communication in case of schedule changes, so PLEASE provide a current e-mail address if you have one. Otherwise, write NONE.
Your answer
Medical Needs
We will assume NONE if left blank.
Your answer
Food Allergies
We will assume NONE if left blank.
Your answer
Are you willing to volunteer in your child's club?
Kidz Klub can only happen with the heart of amazing volunteers who give about an hour each week.
Do you attend church?
What church?
Your answer
After Kidz Klub, where will your child go? *
If pick-up, WHO will be picking up your child?
Your answer
May we have your permission to photograph your child? *
I am over the age of 18 and a parent/legal guardian of this child. I give my permission for this child to attend Kidz Klub. *
Required
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