Family Information
Please complete this form to register your children for Alliance Kidz Sunday Mornings and/or Alliance Kidz Wednesday. A fresh form is needed at the start of each new academic year to make sure that your family's information is up to date. Once you've filled out all the sections for your child(ren), you can skip to the end to submit the form.
* Required
Today's Date:
*
MM
/
DD
/
YYYY
Parent/Guardian Full Name:
*
Your answer
What is your relationship to the child(ren)?
Your answer
Cell Phone/Emergency Phone:
*
Your answer
Email:
Your answer
Address:
*
Your answer
Child/Student #1 - Full Name:
*
Your answer
Birthdate:
*
MM
/
DD
/
YYYY
School Grade:
*
Your answer
Allergies/Health Concerns:
Your answer
Do you need to register another child?
Yes
No
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