Welcome to KIDco Registration!
Sign up for KIDco: Kids in Discipleship Community. We can't wait to have you join us!
Email address *
Child's First Name *
Your answer
Child's Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Grade (entering in Fall 2018) *
Street Address *
Your answer
City/State *
Your answer
Zip Code *
Your answer
Parent/Guardian Contact Info:
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City/State *
Your answer
Zip Code *
Your answer
Email Address *
Your answer
Primary Phone Number *
Your answer
Secondary Phone Number *
Your answer
Emergency Contact Info:
Name *
Your answer
Phone Number *
Your answer
Miscellaneous Information:
For K-3 Grade: please list a name of a friend. (optional)
Your answer
Allergies, medical conditions or anything else you would like us to be aware of:
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