Kid Register Form
Child's Name, Age & School Grade
Home Address
Name of Parent(s)/Guardian
Parent(s)/Guardian Email
Parent(s)/Guardian Phone
Child's ALLERGIES or other MEDICAL conditions & Emergency Contact (name, number & relationship). If your emergency contact is 911, please specify.
In case of emergency who should be first contacted?
Parent(s)/Guardian
Emergency Contact
Would you like to receive future email about what will happen next at KPC (Knox Presbyterian Church)
Yes
No
Can pictures of your kid be used on social media (KPC Website, Facebook Page & Twitter)
Yes
No
Additional Information about your kid (if any)
Submit