LOCAL KIDS

Sunday Morning Registration

First Name

Last Name

Phone Number

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

First Name

Last Name

Gender

Birthdate

Allergies

Grade

Gender

What environment are you registering for?*

Nursery/Toddler

Pre-K

Elementary

Does your child need any special accommodations to participate? If so, how may we accommodate them?

How did you hear about us?

Anything else you'd like to share?

Do you have a church home?

If you would like to OPT OUT of having your child's picture published by Local Christian Church, please write below to OPT OUT:

Today's Date