Christmas for Kids Registration Form
Join us on December 7, 2019 for Christmas For Kids!
8:45 - 11:30 a.m.
Ages 3-10
Name *
ex: Smith, Timothy and Sara
Your answer
Address *
Your answer
City, State, Zip *
ex: Kiel, WI 53042
Your answer
Phone Number *
ex. 920-555-1234
Your answer
E-mail Address
Your answer
Student's Name *
ex. Smith, Anna
Your answer
Student's Birthdate *
ex. 12/02/2010
Your answer
Grade Student is in *
ex. 3K, 4K, K, 1st, 2nd, 3rd, 4th
Your answer
If your child has an allergy or medical condition, please indicate and explain below. *
Your answer
Emergency Contact
First and last name and phone number ex. Tamera Smith 920-555-8754
Your answer
How did you learn of Christmas for Kids?
Check all that apply.
I give permission for my child's photo to be included on the CFK web page for Trinity Lutheran School. *
Children's names will NOT be used.
Need to register another child?
Student's Name
Your answer
Student's Birthdate
Your answer
Grade student is in
Your answer
If your child has an allergy or medical condition, please indicate and explain below.
Your answer
Need to register another child?
Student's Name
Your answer
Student's Birthdate
Your answer
Grade student is in
Your answer
If your child has an allergy or medical condition, please indicate and explain below.
Your answer
Need to register another child?
Student's Name
Your answer
Student's Birthdate
Your answer
Grade student is in
Your answer
If your child has an allergy or medical condition, please indicate and explain below.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy