Calvary Kids & Youth Student Registration
Please fill out this form to register your family with our Calvary Kids and Youth program. Click submit when you are finished.
*Note: If you need additional fields for children please submit an extra form.
Today's Date:
Family Information
Parent/Guardian
*
Phone:
Parent/Guardian
Phone:
Email address:
Mailing address:
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WI
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WY
YT
I would like to receive email newsletter/updates:
Please select all that apply.
Yes
No
If child(ren) attend church regularly with family/friend other than parent/guardian, please explain:
I give the church permission to publish the likeness of my child(ten) to print, electronic, website, or video format:
*
Please select all that apply.
Yes
No
Signature (Please type name)
*
Child Information - #1
First Name:
*
Last Name:
*
Child prefers to be called:
Gender:
Date of birth:
Age:
Grade:
School:
Allergies/notes:
Child Information - #2
First Name:
Last Name:
Child prefers to be called:
Gender:
Date of birth:
Age:
Grade:
School:
Allergies/notes
Child Information - #3
First Name:
Last Name:
Child prefers to be called:
Gender:
Date of birth:
Age:
Grade:
School:
Allergies/notes:
Child Information - #4
First Name:
Last Name:
Child prefers to be called:
Gender:
Date of birth:
Age:
Grade:
School:
Allergies/notes:
Child Information - #5
First Name:
Last Name:
Child prefers to be called:
Gender:
Date of birth:
Age:
Grade:
School:
Allergies/notes:
Child Information - #6
First Name:
Last Name:
Child prefers to be called:
Gender:
Date of birth:
Age:
Grade:
School:
Allergies/notes:
Submit
Description
Please fill out this form to register your family with our Calvary Kids and Youth program. Click submit when you are finished.
*Note: If you need additional fields for children please submit an extra form.
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