Children and Youth Church Registration
For any child or youth (kindergarten-12th grade) who attends any Kingswood event, class, camp, or meeting. All children and youth must be registered each new school year to ensure our records are accurate and up-to-date. Each family will only need to complete one registration form containing information about all children/youth in the family.
General Family Information
The person listed as the first parent/guardian will be the primary point of contact for information and emergencies.
Family Last Name (last name of children/youth)
Family Address (main address of children/youth)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Main Campus the Family Attends
Please Select
Kingswood Buffalo Grove
Kingswood Deerfield
Full Name of First Parent/Guardian
First Name
Last Name
Home Phone Number (if applicable)
Please enter a valid phone number.
Email of First Parent/Guardian
example@example.com
Cell Phone Number of First Parent/Guardian
Please enter a valid phone number.
Full Name of Second Parent/Guardian
First Name
Last Name
Email of Second Parent/Guardian
example@example.com
Phone Number of Second Parent/Guardian
Please enter a valid phone number.
Emergency Contact (in case both parent/guardians are unable to be reached)
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
My child(ren)/youth have permission for photographs to appear on social media and/or public communications. (no full names will ever appear publicly)
Yes
No
My child(ren)/youth have permission to leave the Kingswood campuses during events within walking distance. (This does not include any transportation as it will be within walking distance from the church and will always be communicated when and where children/youth go with the appropriate adult supervision. Any events requiring transportation will include a specific permission for that event.)
Yes
No
General Family Information: Back
First Child Information: Next
Save
First Child Information Page
Full Name of First Child/Youth
First Name
Last Name
Birthdate of First Child/Youth
-
Month
-
Day
Year
Date
School Name of First Child/Youth
Grade Level of First Child/Youth for the 2024/2025 School Year
Email of First Child/Youth
example@example.com
Staff may email this child/youth in appropriate situations. Communication transcripts are always available upon request.
Yes
No
Phone Number of First Child/Youth
Please enter a valid phone number.
Staff may text this child/youth in appropriate situations. Communication transcripts are always available upon request.
Yes
No
Shirt Size of First Child/Youth
Based on unisex sizing. Please clarify if they need a youth size.
All Known Allergies or Medical Considerations for First Child/Youth
Please include any information about how to best treat any reactions your child/youth may experience or please mark NONE, if this does not pertain to you.
All Known Food Restrictions/Requests for First Child/Youth
Please mark NONE, if this does not pertain to you.
Picture of First Child/Youth (for internal purposes only)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
If your first child/youth has been Baptized, please share the location and year.
This is to update our records and does not determine their participation in any Kingswood event, please mark NO if they have not been baptized.
If your first child/youth has been Confirmed, please share the location and year.
This is to update our records and does not determine their participation in any Kingswood event, please mark NO if they have not been confirmed.
Please share any additional information Kingswood staff should know about your first child/youth. This could include close friends, learning accommodations, behavioral needs, favorite activities, special considerations, or anything else that could help us connect and meet your child/youth where they are.
General Family Information: Back
Second Child Information: Next
Save
Second Child Information Page
You may leave this page blank if you do not have a second child. Continue through the form until you reach the final page to submit your registration.
Full Name of Second Child/Youth
First Name
Last Name
Birthdate of Second Child/Youth
-
Month
-
Day
Year
Date
School Name of Second Child/Youth
Grade Level of Second Child/Youth for the 2024/2025 School Year
Email of Second Child/Youth
example@example.com
Staff may email this child/youth in appropriate situations. Communication transcripts are always available upon request.
Yes
No
Phone Number of Second Child/Youth
Please enter a valid phone number.
Staff may text this child/youth in appropriate situations. Communication transcripts are always available upon request.
Yes
No
Shirt Size of Second Child/Youth
Based on unisex sizing. Please clarify if they need a youth size.
All Known Allergies or Medical Considerations for Second Child/Youth
Please include any information about how to best treat any reactions your child/youth may experience or please mark NONE, if this does not pertain to you.
All Known Food Restrictions/Requests for Second Child/Youth
Please mark NONE, if this does not pertain to you.
Picture of Second Child/Youth (for internal purposes only)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
If your second child/youth has been Baptized, please share the location and year.
This is to update our records and does not determine their participation in any Kingswood event, please mark NO if they have not been baptized.
If your second child/youth has been Confirmed, please share the location and year.
This is to update our records and does not determine their participation in any Kingswood event, please mark NO if they have not been confirmed.
Please share any additional information Kingswood staff should know about your second child/youth. This could include close friends, learning accommodations, behavioral needs, favorite activities, special considerations, or anything else that could help us connect and meet your child/youth where they are.
First Child Information: Back
Third Child Information: Next
Save
Third Child Information Page
You may leave this page blank if you do not have a third child. Continue through the form until you reach the final page to submit your registration.
Full Name of Third Child/Youth
First Name
Last Name
Birthdate of Third Child/Youth
-
Month
-
Day
Year
Date
School Name of Third Child/Youth
Grade Level of Third Child/Youth for the 2024/2025 School Year
Email of Third Child/Youth
example@example.com
Staff may email this child/youth in appropriate situations. Communication transcripts are always available upon request.
Yes
No
Phone Number of Third Child/Youth
Please enter a valid phone number.
Staff may text this child/youth in appropriate situations. Communication transcripts are always available upon request.
Yes
No
Shirt Size of Third Child/Youth
Based on unisex sizing. Please clarify if they need a youth size.
All Known Allergies or Medical Considerations for Third Child/Youth
Please include any information about how to best treat any reactions your child/youth may experience or please mark NONE, if this does not pertain to you.
All Known Food Restrictions/Requests for Third Child/Youth
Please mark NONE, if this does not pertain to you.
Picture of Third Child/Youth (for internal purposes only)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
If your third child/youth has been Baptized, please share the location and year.
This is to update our records and does not determine their participation in any Kingswood event, please mark NO if they have not been baptized.
If your third child/youth has been Confirmed, please share the location and year.
This is to update our records and does not determine their participation in any Kingswood event, please mark NO if they have not been confirmed.
Please share any additional information Kingswood staff should know about your third child/youth. This could include close friends, learning accommodations, behavioral needs, favorite activities, special considerations, or anything else that could help us connect and meet your child/youth where they are.
Second Child Information: Back
Fourth Child Information: Next
Save
Fourth Child Information Page
You may leave this page blank if you do not have a fourth child. Continue through the form until you reach the final page to submit your registration.
Full Name of Fourth Child/Youth
First Name
Last Name
Birthdate of Fourth Child/Youth
-
Month
-
Day
Year
Date
School Name of Fourth Child/Youth
Grade Level of Fourth Child/Youth for the 2024/2025 School Year
Email of Fourth Child/Youth
example@example.com
Staff may email this child/youth in appropriate situations. Communication transcripts are always available upon request.
Yes
No
Phone Number of Fourth Child/Youth
Please enter a valid phone number.
Staff may text this child/youth in appropriate situations. Communication transcripts are always available upon request.
Yes
No
Shirt Size of Fourth Child/Youth
Based on unisex sizing. Please clarify if they need a youth size.
All Known Allergies or Medical Considerations for Fourth Child/Youth
Please include any information about how to best treat any reactions your child/youth may experience or please mark NONE, if this does not pertain to you.
All Known Food Restrictions/Requests for Fourth Child/Youth
Please mark NONE, if this does not pertain to you.
Picture of Fourth Child/Youth (for internal purposes only)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
If your fourth child/youth has been Baptized, please share the location and year.
This is only to update our records and does not determine their participation in any Kingswood event, please mark NO if they have not been baptized.
If your fourth child/youth has been Confirmed, please share the location and year.
This is only to update our records and does not determine their participation in any Kingswood event, please mark NO if they have not been confirmed.
Please share any additional information Kingswood staff should know about your fourth child/youth. This could include close friends, learning accommodations, behavioral needs, favorite activities, special considerations, or anything else that could help us connect and meet your child/youth where they are.
Third Child Information: Back
Final Page: Next
Save
Final Page
Thank you for registering your child(ren)/youth for the 2024-2025 school year. This registration form is valid from the date you submit until August 31, 2025.
Please share the full name of the person completing this registration form.
First Name
Last Name
Your signature verifies that all of the information shared on this form is accurate. This signature grants permission for your child(ren)/youth to participate in Kingswood UMC events and activities.
Please confirm the date that this registration form was completed and submitted.
-
Month
-
Day
Year
Date
Save
Submit
Should be Empty: