Kidz Klub Registration – Planned return after summer break 2021 Please enable JavaScript in your browser to complete this form.Child Name *FirstLastChild's GradeSecond Child NameFirstLastChild's Grade Third Child NameFirstLastChild's Grade Address *Contact Number: *Email *List any allergies/sensitivities your child(ren) have *Parent/Guardian Name *FirstLastParent/Guardian Name *FirstLastList any other persons able to pick up child from Kidz Klub *List names of persons not listed as parent or Guardian above.I consent for my child's picture to be taken and used in the following ways. *I DO NOT consentYes, for crafts that will come homeYes, for internal promotion within Kidz Klub program and Church ServicesYes, for external promotion outside Church Activities. I understand this includes flyers, social media and website usage.Please select all that apply.CommentSubmit
