First Scots - First Scots - Kirk Club Registration

Kirk Club Registration 2023-2024

(You may click the plus next to some fields to create additional inputs as needed.)
Welcome to Kirk Club! Children ages 4 and older are invited to join the fun!

About Kirk Club:
- Kirk Club meets on Wednesdays from 3:30 p.m. (drop-off) - 6:00 p.m. from September 13th, 2023 - March 27th, 2024. The program will begin each Wednesday at 4:00 p.m.
- Parents volunteer four times each year.
- The cost of Kirk Club is $100 annually per child. This does not include the cost of Wednesday Night Supper.
- Wednesday Night Family Supper begins at 6:00 p.m. and we encourage you and your family to join us! You can sign up by calling the church by noon each Monday to RSVP, or you can pay ahead and sign up for the whole year by calling the church office. There is a $25 maximum per family for supper.
Child's Name*
Child's Name

First NameLast Name
Child's Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child's Birthdate
Child's Grade Level
Date of Birth (for each child)*
Grade Level - 2022-2023 School Year (for each child)*
School (for each child)*
Parent's Name*

First NameLast Name
Home Phone Number

Area CodePhone Number
Mother's Cellphone Number*

Area CodePhone Number
Father's Cellphone Number*

Area CodePhone Number
Mother's Work Phone Number

Area CodePhone Number
Father's Work Phone number

Area CodePhone Number
Mother's Email Address*
example@example.com
Father's Email Address*
example@example.com
Emergency Contact Name*

First NameLast Name
Please provide a contact in addition to the child’s parents.
Emergency Contact Phone Number*

Area CodePhone Number
Emergency Contact Relationship to Child*
Are you a member of First (Scots) Church?*

YesNo
If answer above is no, which church are you a member of?
Please list any medical condition, food allergies, activity limitations, or classroom concerns of which Kirk Club staff should be aware.
Photography Opt-Out
Would you like to opt-out from your child's image being included in First (Scots) promotional material? (church emails, website, Instagram, etc.)

NoYes
Please print and fill out this form:
To finalize your child’s registration, please print and complete the attached form above. Alternatively, forms will be available for completion in the church office. Please pay $100 per child by September 13, 2023 by going to https://abundant.co/firstscots/give and designating payment to "Kirk Club" Your completed form can either be dropped off in the church office or mailed to First (Scots) Presbyterian Church Attn: Kirk Club 53 Meeting Street, Charleston, SC 29401. If you have questions, please email cedassist@first-scots.org.
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Kirk Club Registration 2023-2024

Photography Opt-Out