Club Kidsrock Registration
Club Kidsrock is for kids from Kindergarten to 5th grade to come together for a fun night of games, music, crafts, and discipleship.  This will take place every first Friday of the month at Granite City Church starting October 7th. Pre-register your child below. 
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Email *
Child's Name  *
Address
Parent/Guardian Name *
Parent/Guardian E-mail  *
Parent/Guardian Phone Numbers  *
Please list the names of people who are authorized to pick up your child *
Child's Grade  *
Dietary Restrictions *
I give Granite City Church permission to take pictures of my child participating in Kidsrock activities *
I give Granite City Church permission to use photos of my child on the church's social media accounts (facebook, instagram, youtube) with the understanding that his/her name will not be used.  *
MEDICAL RELEASE FORM

As the parent or guardian of this child, I do hereby authorize adult volunteers of Granite City Church in Quincy, MA as agent(s) for the undersigned, to consent to any medical care deemed advisable by any accredited physician or surgeon in an approved emergency clinic or hospital.  
 *
Doctor name and phone number  *
Allergies and current medications  *
Any other information about your child we should be aware of? 
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