This information will be used for contact purposes only.
Parent 1 Name
Parent 2 Name
Home Church (if applicable)
Best method to contact me by :
I would like to register my child/ren for
Mid Week programs
Number of children registering:
10 or more
Please write your child(ren)'s name, birthday, and grade in fall (if applicable).
Anything you want to add? (Food allergies, medical concerns, etc)
I agree to have my child's photo used on...
Our church website (www.kemc.net)
Church Program Brochure
Slide Shows within your child's program
Should be Empty:
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