Help! I'm Married - Child Registration

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Please take a moment to register your child/children for childcare on Saturday, February 25 during the Help! I'm Married seminar. The cost is $10.00 per child and open for KCC Members Only. Please be sure to complete ALL fields and enter N/A where applicable.

Parent Name (First Name) *

Parent Name (Last Name) *

Email Address *

Phone Number *

Are you a member of Kingdom Christian Church? *

Child Care is being provide for KCC Members only

Yes

How many children are you registering for child-care? *

Other:

Required

Are you the legal guardian of the children you are registering? *

Yes

Child 1 (Please list name AND age) *

Child 2 (Please list name AND age) *

Child 3 (Please list name AND age) *

Child 4 (Please list name AND age) *

Child 5 (Please list name AND age) *

Please indicate any food allergies for the children listed above. Please be sure to list their name next to each food allergy. *

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