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
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