Ministries
Studies & Programs
Kids' Programs
Worship Arts
News
About Us
Staff
Tithes & Offerings
Contact
KFC REGISTRATION FORM
CHILD'S INFO
*
Indicates required field
Child's Name
*
First
Last
Siblings' Names
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Date of Birth
*
Age
*
SCHOOL
School
*
Grade
*
FAMILY/CONTACT
Parent's Name
*
First
Last
Phone Number
*
Emergency Contact
*
First
Last
Emergency Contact Phone
*
Home Church
*
Email Of Parent/Caretaker
*
Other Information We Should Be Aware Of
*
ALLERGIES
ALLERGIES?
*
YES
NO
List Allergies Here:
*
ARRIVAL/TRANSPORT
Check What Applies
*
My child will walk to KFC
I will bring my child to KFC
My Child needs to ride the church van
*If your child is riding in the van, please inform the child's school.
DEPARTURE
My Child Will
*
Walk Home
Be Picked Up
Name of Authorized Person
*
First
Last
Name of someone whom you allow to pick up your child.
Name of Authorized Person
*
First
Last
Name of someone whom you allow to pick up your child.
PHOTO RELEASE
Photos may appear on the church website, newsletter, or Facebook page.
Yes! I understand my child may appear in photos.
*
I understand and give consent to photographs.
Submit
Ministries
Studies & Programs
Kids' Programs
Worship Arts
News
About Us
Staff
Tithes & Offerings
Contact