Registration PS-10 Grade

Treasure Kids -CREW -KIC
2020-2021 Registration

* Indicates required field

Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent/Guardian Name *

First

Last

Parent/Guardian Cell Number *

with Texting *

Yes No

Parent/Guardian Email *

Best way to contact me is *

Cell Phone Home Phone Email

Parent/Guardian Name *

First

Last

Parent/Guardian Cell Number *

with Texting *

Yes No

Parent/Guardian Email *

Best way to contact me is *

Cell Phone Home Phone Email

Student Name *

First

Last

I prefer to be called: *

Birthdate *

Baptism Date *

I will be attending *

Grade (Fall of 2020) *

Age (as of September 1, 2020) *

For ALL KIC, please fill out Cell # & Email info. THANKS!!!

Student Cell Number *

with Texting *

Yes No

Student Email *

Student Name *

First

Last

I prefer to be called *

Birthdate *

Baptism Date *

I will be attending *

Grade (Fall of 2020) *

Age (as of September 1, 2020) *

For ALL KIC, please fill out Cell # & Email info. THANKS!!!

Student Cell Number *

with Texting *

Yes No

Student Email *

Student Name *

First

Last

I prefer to be called *

Birthdate *

Baptism Date *

I will be attending *

Grade (Fall of 2020) *

Age (as of September 1, 2020) *

For ALL KIC, please fill out Cell # & Email info. THANKS!!!

Student Cell Number *

with Texting *

Yes No

Student Email *

Student Name *

First

Last

I prefer to be called *

Birthdate *

Baptism Date *

I will be attending *

Grade (Fall of 2020) *

Age (as of September 1, 2020) *

For ALL KIC, please fill out Cell # & Email info. THANKS!!!

Student Cell Number *

with Text *

Yes No

Student Email *

List any other experiences you have had working with children/youth. *

Have you worked with children/youth at another church? *

Yes No

Name/City of church you have worked with children/youth *

Permission for *

I give my child/youth permission to attend offsite KIC Servant Events (TBD). I do NOT give my child/youth permission to attend offsite KIC Servant Events (TBD). I give permission for pictures of my child/youth to be on the church website/Facebook. I do NOT give permission for pictures of my child/youth to be on the church website/Facebook.

Today's Date *

Submit

Treasure Kids -CREW -KIC​2020-2021 Registration

For ALL KIC, please fill out Cell # & Email info. THANKS!!!

For ALL KIC, please fill out Cell # & Email info. THANKS!!!

For ALL KIC, please fill out Cell # & Email info. THANKS!!!

Treasure Kids -CREW -KIC
2020-2021 Registration