Kids Ignited Wednesday Night Pre-Registration
The safety of children is a high priority to us. We ask all parents to use our Kids’ Check-In security system that involves registering your child, giving allergy information, and information of who is allowed to pick your child up. Your child's information is inputted to our Check-In system software & gives the volunteers correct information about your child.


*Note: You do not have to fill out this form before dropping your child off for Wednesday activities. We can defiantly register your child at drop off.

Kids Ignited is a group of kids that are in Kindergarten- 5th grade. We meet on Wednesday nights at 6:00 pm. The kids & Youth eat a FREE dinner supplied by Cooks Hill Community Church, and after Kids Ignited heads upstairs to their classroom. The evening ends at 8:00 pm sharp.

Email address
Wednesday Night Date
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Parent's Name
Your answer
Address City/Zip code
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People Allowed To Pick-up My Child From Wed. Night Activities (Kids Ignited) *Please Give Name & Contact Phone Number
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Child's Name
Your answer
Child's Birthdate
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Gender
Grade
Any Allergies / Special Needs
Your answer
Child's Name
Your answer
Child's Birthdate
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DD
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YYYY
Gender
Grade
Any Allergies / Special Needs
Your answer
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