King's Kids Registration Form
Please complete one form per child.
Student's Name (first and last) *
Your answer
Preferred Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Grade *
Your answer
Student's Allergies or Other Medical Concerns *
Your answer
Parent/Gardian Name: *
Your answer
Parent or Guardian's email address *
Your answer
Phone Number *
Your answer
Home Address *
Your answer
Home Church *
Your answer
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