New to UR Kids
Registration form for UR Kids 2018
We are... *
Parent/Guardian 1 Name *
Your answer
Parent/Guardian 1 Address *
Your answer
Parent/Guardian 1 Phone *
This will be used for checking your child in at UR Kids
Your answer
Parent/Guardian 1 E-mail
Your answer
Would you like this e-mail to be added to the UR Kids Parent E-mail list?
Parent/Guardian 2 Name
Your answer
Parent/Guardian 2 Address
If different than above
Your answer
Parent/Guardian 2 Phone
This will be used for checking your child in at UR Kids
Your answer
Parent/Guardian 2 E-mail
Your answer
Would you like this e-mail to be added to the UR Kids Parent E-mail list?
Kid's Name *
Your answer
Kid's Birthday *
MM
/
DD
/
YYYY
Kid's Grade in Fall 2018 *
Your answer
Gender
Your answer
Any Allergies, Special Concerns, Notes *
Your answer
Kid's Name
Your answer
Kid's Birthday
MM
/
DD
/
YYYY
Kid's Grade in Fall 2018
Your answer
Gender
Your answer
Any Allergies, Special Concerns, Notes
Your answer
Kid's Name
Your answer
Kid's Birthday
MM
/
DD
/
YYYY
Kid's Grade in Fall 2018
Your answer
Gender
Your answer
Any Allergies, Special Concerns, Notes
Your answer
Kid's Name
Your answer
Kid's Birthday
MM
/
DD
/
YYYY
Kid's Grade in Fall 2018
Your answer
Gender
Your answer
Any Allergies, Special Concerns, Notes
Your answer
Do you give Upper Room Community permission to use pictures or videos of your son or daughter for promotional/communication purposes? Please note, we will never list your child's name alongside his or her photo. *
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