KidzLife 2019 Registration
 
KidzLife 2019 Registration
KidzLife is for children in Kindergarten - 5th Grade. The cost is $10 per student and includes a T-shirt ($30 max per family). KidzLife meets on Wednesdays from 6:30 p.m. - 8 p.m. during the adult service and will begin on August 28, 2019. (The program for 1-4 year olds is for the children of parents attending service, or serving in KidzLife.)
Parent/Guardian First Name  * 
Parent/Guardian Last Name  * 
Your Email Address  * 
Emergency Contact Phone Number  * 
I give personnel at Calvary Chapel of Queen Creek my permission to seek medical attention for my child/ren in the event of an emergency if I cannot be contacted.  * 
I understand that as a participant, my child may be photographed or videotaped during KidzLife activities. These photos/videos may be used in promotional materials and/or the website.  * 
I understand that all children need to be picked up at 8 p.m.  * 
The cost is $10 for each child in Kindergarten - 5th Grade. (Scholarship forms are available in the office.)  * 
Have you ever used our children's check-in system on Wednesday Nights or Sunday Mornings?  * 
Child 1 - First Name  * 
Child 1 - Last Name  * 
Child 1 - Gender  * 
Child 1 - Date of Birth (Example 12/15/2010)  * 
Child 1 - What grade will your child be in for the 2019/2020 school year?  * 
Child 1 - Allergies, Medical or Special Considerations.  * 
Select T-shirt size  * 
If you have additional children to register, please enter their information below. Once you have entered information for ALL children attending, please click continue.
Child 2 - First Name
Child 2 - Last Name
Child 2 - Gender
Child 2 - Date of Birth (Example 12/15/2010)
Child 2 - What grade will your child be in for the 2019/2020 school year?
Child 2 - Allergies, Medical or Special Considerations
Select T-shirt size
Child 3 - First Name
Child 3 - Last Name
Child 3 - Gender
Child 3 - Date of Birth (Example 12/15/2010)
Child 3 - What grade will your child be in for the 2019/2020 school year?
Child 3 - Allergies, Medical or Special Considerations
Select T-shirt size
Child 4 - First Name
Child 4 - Last Name
Child 4 - Gender
Child 4 - Date of Birth (Example 12/15/2010)
Child 4 - What grade will your child be in for the 2019/2020 school year?
Child 4 - Allergies, Medical or Special Considerations
Select T-shirt size
Child 5 - First Name
Child 5 - Last Name
Child 5 - Gender
Child 5 - Date of Birth (Example 12/15/2010)
Child 5 - What grade will your child be in for the 2019/2020 school year?
Child 5 - Allergies, Medical or Special Considerations
Select T-shirt size
Please type in the box to the right »  * 
Total $
 
 
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