Kids4Truth Registration Form

K4T Registration Form
Parent/Guardian Information
Parent/Guardian Name*

First NameLast Name
Relationship*
Relationship to the Child/Children (ex. mother, father, grandparent, stepfather, etc.)
Email*
example@example.com
Phone*

Area CodePhone Number
Cell Phone

Area CodePhone Number
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is there another legal guardian?

YesNo
Parent/Guardian Name*

First NameLast Name
Relationship*
Relationship to the Child/Children (ex. mother, father, grandparent, stepfather, etc.)
Email*
example@example.com
Home Phone

Area CodePhone Number
Cell Phone*

Area CodePhone Number
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child/Children Information
Total Kids*
How many children are you registering for Kids4Truth?
1st Child: Name*

First NameLast Name
1st Child: Birthday*

MonthDayYear
Date
1st Child: Grade*
1st Child: Medical Comments
2nd Child: Name*

First NameLast Name
2nd Child: Birthday*

MonthDayYear
Date
2nd Child: Grade*
2nd Child: Medical Comments
3rd Child: Name*

First NameLast Name
3rd Child: Birthday*

MonthDayYear
Date
3rd Child: Grade*
3rd Child: Medical Comments
4th Child: Name*

First NameLast Name
4th Child: Birthday*

MonthDayYear
Date
4th Child: Grade*
4th Child: Medical Comments
5th Child: Name*

First NameLast Name
5th Child: Birthday*

MonthDayYear
Date
5th Child: Grade*
5th Child: Medical Comments
Student Info*
Name

First NameLast Name
Birthday

MonthDayYear
Date
Grade
Name

First NameLast Name
Birthday

MonthDayYear
Date
Grade
Name

First Name (Child 4)Last Name
Birthday

MonthDayYear
Date
Grade
Name

First Name (Child 5)Last Name
Birthday

MonthDayYear
Date
Grade
Name

First Name (Child 6)Last Name
Birthday

MonthDayYear
Date
Grade
Name

First Name (Child 7)Last Name
Birthday

MonthDayYear
Date
Grade
Name

First NameLast Name
Birthday

MonthDayYear
Date
Grade
Name

First NameLast Name
Birthday

MonthDayYear
Date
Grade
Name

First NameLast Name
Birthday

MonthDayYear
Date
Grade
Name

First NameLast Name
Birthday

MonthDayYear
Date
Grade
Medical Comments
Please list below any allergies or medical concerns that you would like us to know about your child/children.
Kids4Truth- Registration Cost

Registration costs $20 per child (includes TruthBook, K4T jersey, and more). Capped at $50 for 3+ kids in a family. Please enter the name and shirt size of each child. Available shirt sizes are Youth XS, Youth S, Youth M, Youth L, Adult S, Adult M, and Adult L.
Child 1: Jersey Size*
Child 2: Jersey Size*
Child 3: Jersey Size*
Child 4: Jersey Size*
Child 5: Jersey Size*
Please enter the name and shirt size of each child. Available shirt sizes are Youth XS, Youth S, Youth M, Youth L, Adult S, Adult M, and Adult L.
Total Price
How would you like to pay?*

Pay online nowPay by cash or check at the K4T Registration Table
Form of Payment

CreditCash/Check
K4T Registration Payment

prevnext( X )
USDDescription

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

K4T Registration Form

Parent/Guardian Information

Child/Children Information

Kids4Truth- Registration Cost