Kingdom Kids 2023 Registration
Family Information
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Parent/Guardian Name(s) *
Email Address *
Address (Street/City/State/Zip) *
Primary Phone Number *
Secondary Phone Number *
Emergency Contact Name & Phone Number (Please list someone other than the previously listed parent/guardian) *
Has your family ever attended Kingdom Kids before? *
Do you attend a church, and if so, where?
List the individuals (first & last name) who may pick up your child(ren) at the end of the night: *
How did you find out about Kingdom Kids?
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