Kingdom Kids Registration
Kingdom Kids returns to FBC Palmyra on September 2, 2020 from 6:30-7:30pm for students K-5th grade. Each child must have this form completed by a parent or guardian for the Fall & Spring Semesters even if a form was filled out last school year.
Email address *
Child's Name *
Child's Grade: *
Child's Age *
Address *
Father/Guardian Name *
Email *
Phone Number *
Mother/Guardian Name *
Email *
Phone Number *
Dietary restrictions or allergies *
Emergency contacts if parent or guardian cannot be reached *
Emergency contact phone number *
What are the names of people to whom we can release your child? *
We will not release your child to anyone other than the parents and guardians listed above or those listed below
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy