Kingdom Explorers: Virtual Summer Program
Please complete this form. In order to participate, you must have access to a laptop or other device that can connect to Zoom.
Email address *
First and Last Name of Parent 1 *
First and Last Name of Parent 2
Street Address *
City *
State *
Zip Code *
Phone Number (home)
Phone Number (cell or Work) Parent 1 *
First and Last Name of Child 1
Does your child have any allergies to food or other things? If yes, please explain. If no, put "None"
First and Last Name of Child 2
Does your child have any allergies to food or other things? If yes, please explain. If no, put "None"
First and Last Name of Child 3
Does your child have any allergies to food or other things? If yes, please explain. If no, put "None"
First and Last Name of Child 4
Does your child have any allergies to food or other things? If yes, please explain. If no, put "None"
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