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KINGDOM BUILDERS CHRISTIAN CHURCH
Building God’s Kingdom One Soul at a time
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Childrens Registration
Instructions: Complete the parent section, then complete a section for each child. When finished, scroll to the bottom of this page and click SUBMIT.
PARENT SECTION
1. Parent's Information
Parent Full First and Last Name
*
Enter Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Parent's Email
*
Parent's Phone
*
2. Emergency Contact
Emergency Contact
*
Emergency Contact's Phone Number
*
3. Authorized to Pick Up
Adult Authorized to pick up child (other than parent)
Authorized Adult's Phone Number
CHILD/CHILDREN SECTION
5. Child Information
Child's Full First and Last Name
*
Childs birthdate
MM slash DD slash YYYY
Allergies
Child's Grade
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Child's T-Shirt Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
6. Child Information
Child's Full First and Last Name
Childs birthdate
MM slash DD slash YYYY
Allergies
Child's Grade
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Child's T-Shirt Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
7. Child Information
Child's Full First and Last Name
Childs birthdate
MM slash DD slash YYYY
Allergies
Child's Grade
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Child's T-Shirt Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
8. Child Information
Child's Full First and Last Name
Childs birthdate
MM slash DD slash YYYY
Allergies
Child's Grade
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Child's T-Shirt Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
9. Child Information
Child's Full First and Last Name
Childs birthdate
MM slash DD slash YYYY
Allergies
Child's Grade
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Child's T-Shirt Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
10. Child Information
Child's Full First and Last Name
Childs birthdate
MM slash DD slash YYYY
Allergies
Child's Grade
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Child's T-Shirt Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
11. Child Information
Child's Full First and Last Name
Childs birthdate
MM slash DD slash YYYY
Allergies
Child's Grade
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Child's T-Shirt Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
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