Kidz Rock Registration- New Covenant Church
New Covenant Church is glad to announce that Kidz Rock is back with some exciting new changes! Every Wednesday night, for children ages 3yr-5th grade, starting Jan 8, we'll begin our evening at 5:30 pm, at 1510 W. Madison, in Knoxville. This year we'll be offering dinner before starting our opening session at 6:00 pm. Closing session will now wrap up at 7:15 pm. We're looking forward to this new year and we hope your child will join us as we explore God's Word, and have fun doing it!

In order to better prepare for your child, please fill out the following registration for each child in your household who plans to attend. This will also provide us with an email address to better communicate with you about important scheduling notifications, updates and special event nights.

We are so excited to have your child join us this year for Kidz Rock! Please don't hesitate to reach out with any questions or concerns at: kidsdirector@knoxvillencc.com. You can also reach our church office by calling 641-842-3176.
Email address *
Child's Full Name *
Your answer
Child's Birth Date *
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Child's Grade *
Child's Age *
Your answer
Parent/Guardian Name(s) *
Your answer
Best Parent/Guardian Contact Number *
Your answer
Mailing Address
Your answer
Does your child have any medical or behavioral challenges that we need to be aware of? (I.e.- ADHD, Epi-pen needed, etc) *
Your answer
If yes, how can we best serve them if a problem should arise?
Your answer
Emergency Contact Name and Relation *
Your answer
Emergency Contact *
Your answer
To whom is your child allowed to be released? *
Your answer
Does your child plan to join us for the meal before Kidz Rock? *
If so, are there any dietary restrictions and/or allergies we should be aware of?
Your answer
If your child is in need of assistance at dinner, you are welcome to join them. Will you be joining your child for dinner? *
If so, are there any dietary restrictions and/or allergies we should be aware of?
Your answer
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