K4T Registration Form
Parent/Guardian Information
Parent/Guardian Name
*
First Name
Last Name
Relationship
*
Relationship to the Child/Children (ex. mother, father, grandparent, stepfather, etc.)
Email
*
example@example.com
Phone
*
-
Area Code
Phone Number
Cell Phone
-
Area Code
Phone Number
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is there another legal guardian?
Yes
No
Parent/Guardian Name
*
First Name
Last Name
Relationship
*
Relationship to the Child/Children (ex. mother, father, grandparent, stepfather, etc.)
Email
*
example@example.com
Home Phone
-
Area Code
Phone Number
Cell Phone
*
-
Area Code
Phone Number
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Child/Children Information
Total Kids
1
2
3
4
5
6
7
8
9
10
How many children are you registering for Kids4Truth?
Student Info
*
Name
First Name
Last Name
Birthday
-
Month
-
Day
Year
Date
Grade
Preschool-Kindergarten
1st-2nd Grade
3rd-4th Grade
5th-6th Grade
Name
First Name
Last Name
Birthday
-
Month
-
Day
Year
Date
Grade
Preschool-Kindergarten
1st-2nd Grade
3rd-4th Grade
5th-6th Grade
Name
First Name (Child 4)
Last Name
Birthday
-
Month
-
Day
Year
Date
Grade
Preschool-Kindergarten
1st-2nd Grade
3rd-4th Grade
5th-6th Grade
Name
First Name (Child 5)
Last Name
Birthday
-
Month
-
Day
Year
Date
Grade
Preschool-Kindergarten
1st-2nd Grade
3rd-4th Grade
5th-6th Grade
Name
First Name (Child 6)
Last Name
Birthday
-
Month
-
Day
Year
Date
Grade
Preschool-Kindergarten
1st-2nd Grade
3rd-4th Grade
5th-6th Grade
Name
First Name (Child 7)
Last Name
Birthday
-
Month
-
Day
Year
Date
Grade
Preschool-Kindergarten
1st-2nd Grade
3rd-4th Grade
5th-6th Grade
Name
First Name
Last Name
Birthday
-
Month
-
Day
Year
Date
Grade
Preschool-Kindergarten
1st-2nd Grade
3rd-4th Grade
5th-6th Grade
Name
First Name
Last Name
Birthday
-
Month
-
Day
Year
Date
Grade
Preschool-Kindergarten
1st-2nd Grade
3rd-4th Grade
5th-6th Grade
Name
First Name
Last Name
Birthday
-
Month
-
Day
Year
Date
Grade
Preschool-Kindergarten
1st-2nd Grade
3rd-4th Grade
5th-6th Grade
Name
First Name
Last Name
Birthday
-
Month
-
Day
Year
Date
Grade
Preschool-Kindergarten
1st-2nd Grade
3rd-4th Grade
5th-6th 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. If no jersey is needed, the cost is $10 per child.
Please enter the name and shirt size of each child that needs a jersey. Available shirt sizes are Youth XS, Youth S, Youth M, Youth L, Adult S, Adult M, and Adult L.
Form of Payment
*
Credit
Cash/Check
K4T Registration Payment
prev
next
( X )
USD
Description
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
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