Faith Kids Sign-Up Form

Parent Name

Child 1 Name

Child 1 Birthdate

Child 2 Name

Child 2 Birthdate

Parent Email

This address will receive a confirmation email

Phone

Address

Food Allergies or Medical Conditions we should know about?

Allergies

Authorized Adults for Child Pick up after service

Names for Pickup

Description

Please let us know more about any needs your child may have as well as the names of those who are authorized to pick them up after service.