Kids Quest Registration Fall 2026
Please enter information in each section. Fill out as much as you can now and bring the rest on the first day of Kids Quest, October 6, 2026. Plan to stay for dinner that night with hot dogs and chili dogs! Bring the rest of your family too.
Parent/Guardian Info
Person filling out this form
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Txt with updates
Yes
No
Primary Phone
Yes
No
Additional Parent/Guardian Info
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Txt with updates
Yes
No
Primary Phone
Yes
No
Student Info
Primary Address for your students
Street/PO Box, Town, State, Zip
How many students do you want to enter?
Please Select
1
2
3
4
Student 1
First Name & Nickname if needed
Last Name
Grade
Please Select
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
Gender
Please Select
Male
Female
Birthday
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please enter any allergy or medical information we need to know
Student 2
First Name & Nickname if needed
Last Name
Grade
Please Select
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
Gender
Please Select
Male
Female
Birthday
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please enter any allergy or medical information we need to know
Student 3
First Name & Nickname if needed
Last Name
Grade
Please Select
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
Gender
Please Select
Male
Female
Birthday
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please enter any allergy or medical information we need to know
Student 4
First Name & Nickname if needed
Last Name
Grade
Please Select
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
Gender
Please Select
Male
Female
Birthday
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please enter any allergy or medical information we need to know
Emergency Contact, Pickup, & Health Info
Emergency Contact Name
First Name
Last Name
Emergency Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Relation to student(s)
Type mom, dad, grandparent, friend, etc
Approved to pickup
Please list individuals, other than parents/guardians already named on this form, that are approved to pick up your student(s)
Are there any custody arrangements we need to know about?
Signature
The information entered in this form will only be used for Kid's Quest programming and needs. For more info, concerns, or questions, contact Lockwood UMC at lumc@att.net or 417-232-4728 (phone or text).
Name of person filling out this form
Please type your name in the box above to act as your signature
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: