Kids' Praise Registration 2016-2017
Welcome to the Kids' Praise Registration form. Thank you for taking the time to fill this out. We CANNOT wait to share the timelessness of the Scripture as you child encounters Gods' Word in a practical way that leads to life-long application!
Child's First Name
Your answer
Child's Last Name
Your answer
Gender
Your answer
Age
Your answer
Date of Birth
Your answer
Grade
Your answer
Name of Parent (s) or Legal Guardian (s)
Please include all parents, even if they do not live in the area.
Your answer
Home Address
Your answer
Home Number
Your answer
Cell Number
In case of emergency, we like to have a second number for each student.
Your answer
Email Address
The church regularly uses email to notify families about church and educational happenings and we want you to get the information. Please share your address with us!
Your answer
Emergency Contact
Please include an additional name, phone number, and relationship to the child. Our first option is always contacting the parent or legal guardian, but if we are unable, we would like another option!
Your answer
Allergies or Other Medical Conditions
If there are none, please enter "NONE". Please include specific procedures for treating allergies or medical conditions if known.
Your answer
Alternate Pickup
Please list any other adults that might pick up your child. These people would be able to sign out your child from Kids' Praise.
Your answer
Additional Comments?
Your answer
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