LinKids Registration

Child's Name *

First

Last
Gender *
 Male 
 Female 
Birthday *

MM
/
DD
/
YYYY
*Signing your child up automatically enters him/her into the LInKIds Birthday Club!
Age *
as of 9/1/11
2011-2012 Grade *
Living situation
If other, please specify:
Are there any snack restrictions or other information we should be aware of? If no, type n/a. *
I would like my child to be a part of *
 Knowledge Sunday School 9am 
 Jubilee Kids Church 10:30 am 
 Wednesday Night Witness 7-8 pm 
Click all that apply

Parent/Guardian Name(s) *

First

Last

First

Last
Address *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Best contact number *

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Email *
Other people authorized to pick up your child and their relationship to the child.
Do you have other children registered for LinKids? If so, what are their names?
Please fill out one form per child.
Do you have a home church? *
If other, what is your home church?
Please List any goals your have for your child (spiritual, emotional, social):
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