King's Kids

Registration Form

Thank you for your interest in King's Kids! Please fill out this form to register your child(ren). If more space is needed for additional children, please complete a second form.

Questions? Contact: kingskidsbeavercrest@gmail.com

Parent / Guardian Information

* Indicates required field

Full name *

First

Last

Relationship to child *

Phone number *

Email address *

Home address *

Alternate emergency contact name and phone number *

Child 1 - Information

Child's full name (first and last) *

Date of birth (yyyy/mm/dd) *

School and Grade *

Allergies *

Please indicate if you'd prefer we not serve your child a snack *

Is your child allowed to walk home after King"s Kids? *

Child 2 - Information

Child's full name (first and last) *

Date of birth (yyyy/mm/dd) *

School and Grade *

Allergies *

Please indicate if you'd prefer we not serve your child a snack *

Is your child allowed to walk home after King's Kids? *

Child 3 - Information

Child's full name (first and last) *

Date of birth (yyyy/mm/dd) *

School and Grade *

Allergies *

Please indicate if you'd prefer we not serve your child a snack *

Is your child allowed to walk home after King's Kids? *

If your child(ren) are to be picked up, please name anyone (besides yourself) who is permitted to pick them up *

May we use your child(ren)'s pictures in our promotional materials? *

Please type your full name in the space provided (and submit) to indicate that you give your permission for the above mentioned child(ren) to attend the weekly King's Kids program for the Spring 2022 session at Beavercrest Community School *

Additional comments *

Submit

Registration Form

Parent / Guardian Information

Child 1 - Information

Child 2 - Information

Child 3 - Information

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