Kid's Club Registration 2024

Thursdays at 6:30pm | To register your child for Kids Club, please fill out this form and click submit.

Student Information

Student's Name

*

Age

*

Birthdate

*

Grade/Class

*

Please select one option.

Nursery (ages 0-2) Scooters (ages 3-PreK) Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Medical Concerns/Allergies

Family Information

Guardian's Name

*

Secondary Guardian Name

Address

*

Guardian's Email

*

This address will receive a confirmation email

Mobile Phone #

*

Persons Authorized to Pick Up Child

*

Emergency Contact

*

Relationship to Child

*

Emergency Release Form: I give my permission to the staff of Family Worship Center to seek medical attention for my child if necessary while participating in Kids Club functions. I understand that all necessary precautions will be taken for my child's safety. I will not hold the church, church staff or church volunteers liable.

*

Please select all that apply.

I agree

Description

Thursdays at 6:30pm

To register your child for Kids Club, please fill out this form and click submit.

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