Cornerstone Kids
An after school ministry of Searcy First UMC for children Kindergarten - 6th Grade
* Required
Student's Full Name (one registration per child)
*
Your answer
Student's Birthdate
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MM
/
DD
/
YYYY
Student's Gender
*
Choose
Male
Female
Preferred Start Date
*
MM
/
DD
/
YYYY
Notes regarding start date (optional)
Your answer
Please select the session you need to secure for your child
*
Year Round (12 Months)
Summer Only
School Year Only (No Summer)
Other:
Child Age / Classification
*
Elementary School Age (K-3rd)
Middle School Age (4th-6th)
How will your child get to Searcy First?
*
Church bus pick-up
Parent drop off
Food Allergies we need to be aware of?
*
Your answer
Please tell us how we can best serve your child
Your answer
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