Kingdom Kids Signup

Ages 4 years (as of Sept. 1) through fifth grade

Wednesdays, 6:00-7:15

(*required)

*Your Name:

*Your Email:

*Child's Name:

*Age:

*Current Grade:

*Address:

*Phone:

*Emergency Contact:

*Emergency Contact phone:

Allergies or other special needs:

A friend they would enjoy being with: