2023-2024 Kids For Christ

starts Sept 6, 2023 | Kids For Christ
Begins September 6, 2023
Please fill out this form and click submit. Please check your email for confirmation.

Kids For Christ 2023 -2024 - Begins 9/6/2023

Participant Registration - One ONLY per form

Please fill this information in as accurately as possible

Name

*

Gender

*

Please select one option.

Female Male

Birthdate

*

Grade

*

Please select one option.

Kindergarten 1st 2nd 3rd 4th 5th

School

*

Please select one option.

McMillan early Learning Center Eugene Field Hawthorne St. Brendan Southside Christian Academy Community R6 Out of Area

Address

*

Food Allergies

Medical Allergies

Home Church

Select your home Church

*

Please select one option.

First Presbyterian Church (Mexico) First Christian Church (Mexico) Mexico United Methodist Other Church No Church Home

If Other, Please list your Home Church

Parent/ Guardian Information

If this information is the same as another particpant you have already registered, please enter the participant's name

Parent/ Guardian #1 Information

Parent #1 Name

Relationship to Participant

Parent #1 Email

*

This address will receive a confirmation email

Parent #1 Cell Phone

Parent #1 Home Phone

Parent #1 Work Phone

Parent/ Guardian #2 Information

Parent #2 Name

Relationship to Participant

Parent #2 Email

This address will receive a confirmation email

Parent #2 Cell Phone

Parent #2 HomePhone

Parent #2 Work Phone

Adults approved to pick child up

*

Description

starts Sept 6, 2023

Kids For Christ
Begins September 6, 2023
Please fill out this form and click submit. Please check your email for confirmation.

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