FPC Kingdom Kids Registration 2022-2023

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Please fill out this form to register your child/children for Kingdom Kids - ages 3 through kindergarten. Please fill out one form for each child that will be participating. Remember Kingdom Kids occurs during the service after the Children's Moment and they need to be picked up from Room 202 (main floor) after the service is over. Thank you!!

Email *

Child Name *

Birthday *

YYYY

Parent/Guardian's Name(s) *

Phone Number (during the service) *

Allergies/ Concerns/ Other Important Information

Any other information or suggestions you would like to share:

I authorize First Presbyterian Church of Waunakee to take and record photos, audio, and videos that include my children for any lawful purpose in connection with the mission of FPCW. I also authorize the use and publication of photos, audio, and videos in media without name use (for publicity, for example) and without any form of compensation *

Yes

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