New to UR Kids
Registration form for UR Kids 2020
We are... *
Parent/Guardian 1 Name *
Parent/Guardian 1 Address *
Parent/Guardian 1 Phone *
This will be used for checking your child in at UR Kids
Parent/Guardian 1 E-mail
Would you like this e-mail to be added to the UR Kids Parent E-mail list?
Clear selection
Parent/Guardian 2 Name
Parent/Guardian 2 Address
If different than above
Parent/Guardian 2 Phone
This will be used for checking your child in at UR Kids
Parent/Guardian 2 E-mail
Would you like this e-mail to be added to the UR Kids Parent E-mail list?
Clear selection
Kid's Name *
Kid's Birthday *
MM
/
DD
/
YYYY
Kid's Grade in Fall 2020 *
Gender
Any Allergies, Special Concerns, Notes *
Kid's Name
Kid's Birthday
MM
/
DD
/
YYYY
Kid's Grade in Fall 2020
Gender
Any Allergies, Special Concerns, Notes
Kid's Name
Kid's Birthday
MM
/
DD
/
YYYY
Kid's Grade in Fall 2020
Gender
Any Allergies, Special Concerns, Notes
Kid's Name
Kid's Birthday
MM
/
DD
/
YYYY
Kid's Grade in Fall 2020
Gender
Any Allergies, Special Concerns, Notes
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. *
Submit
Never submit passwords through Google Forms.
This form was created inside of Upper Room Community. Report Abuse