Kennesaw Kids Registration Form

Kennesaw Kids Registration Form

Fill out the form carefully for registration
Child's Name*

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Pre-KKindergarten1st2nd3rd4th5th
Gender*
Parent/Guardian 1 Full Name*

First NameLast Name
Parent/Guardian 1 Email*
example@example.com
Parent/Guardian 1 Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian 2 Full Name

First NameLast Name
Parent/Guardian 2 Email
example@example.com
Parent/Guardian 2 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name*

First NameLast Name
Emergency Contact Relation to Child*
Emergency Contact Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Email*
example@example.com
List any allergies/medical conditions/special needs
I give permission for Kennesaw MC to use photos of my child’s ministry involvement for promotional use, as well as website placement. (If yes: enter adult's name | yes | date. If no: enter adult's name | no | date.*
If you have additional children please click on "NEXT"

If you have additional children please click on "NEXT"