Kingdom Compass Registration 2018-2019
After school Program
Email address *
Child's First Name
Your answer
Child's Last Name
Your answer
Address
Your answer
City
Your answer
Zip Code
Your answer
Parent/Guardian's Name
Your answer
Phone
Your answer
Emergency Contact Person(s)
Your answer
Emergency Contact Phone(s)
Your answer
Grade
School
Allergies?
If you marked "yes" above, list what your child is allergic to.
Your answer
Who can pick up your child from Kingdom Compass? List their names.
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Kingdom Embassy Covenant Church. Report Abuse - Terms of Service