CKC 2017 Registration
 
CKC 2017 Registration
Calvary Kids Club is for kids Preschool (potty trained) - 3rd Grade. The cost is $10.00 per student (a family maximum of $50.00).
We will be offering DKD (Dynamic Kids Discipleship) for 4th, 5th and 6th graders who may not be ready for Jr. High.
When signing up your 6th grader, please put them as 5th grade on the form. This will indicate that they are participating in DKD.
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 can not be contacted.  * 
I understand that as a participant, my child may be photographed or videotaped during CKC activities. These photos/videos may be used in promotional materials and/or the website.  * 
The cost for CKC 2017 is $10.00 per child (a family maximum of $50.00). Please select your price point below. (No fee for DKD sign-ups)  * 
Child 1 - First Name  * 
Child 1 - Last Name  * 
Have you ever used our children's check-in system on Wednesday or Sunday Nights?  * 
Child 1 - Gender  * 
Child 1 - Date of Birth (Example 12/15/2010)  * 
Child 1 - What grade will your child be in for the 2017/2018 school year?  * 
Child 1 - Allergies, Medical or Special Considerations.  * 
Child 1 - What CKC book was your child working on at the end of last season? If you are not sure, please select N/A.  * 
Child 1 - Vest 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 2017/2018 school year?
Child 2 - Allergies, Medical or Special Considerations
Child 2 - What CKC book was your child working on at the end of last season? If you are not sure or the question does not apply, please select N/A.  * 
Child 2 - Vest 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 2017/2018 school year?
Child 3 - Allergies, Medical or Special Considerations
Child 3 - What CKC book was your child working on at the end of last season? If you are not sure or the question does not apply, please select N/A.  * 
Child 3 - Vest 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 2017/2018 school year?
Child 4 - Allergies, Medical or Special Considerations
Child 4 - What CKC book was your child working on at the end of last season? If you are not sure or the question does not apply, please select N/A.  * 
Child 4 - Vest 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 2017/2018 school year?
Child 5 - Allergies, Medical or Special Considerations
Child 5 - What CKC book was your child working on at the end of last season? If you are not sure or the question does not apply, please select N/A.  * 
Child 5 - Vest Size
If you have more children to register, please complete this registration and submit another with the remaining children.
You do NOT have to pay again, simply select "Additional child/ren to original registration".
Front Office Use Only
Total $
 
 
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