King’s Club Students

Please note: children under the age of 5 must have a parent/guardian present at church in order to attend King's Club

Name *

Grade *

Date of Birth

Email Address (For club events, cancellations, etc)

Address

Parent/Guardian Name *

Parent/Guardian Phone Number *

Allergies/Medical conditions *

Need Transportation? (Must be at least 5 yrs old)

Who will be picking up your child? (If riding the church van, please indicate "church van").

Do you consent to having pictures of your child on our church website and/or Facebook page?

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