Kid Central Sunday Morning New Attender Registration Form • North Central Church

Kid Central Registration

Kid Central New Attender

Kid Central is dedicated to partnering with parents to love and lead their children to become fully devoted followers of Jesus Christ. Through age-specific lessons & activities, children ages birth-6th grade learn biblical truths and real-life lessons they can apply to their lives every week.

Parent Information

First Name *

Last Name *

Home Address *

Home City *

Home State *

Home Zip Code *

Contact Information

Mobile Number *

Phone Number

Email Address *

Additional Questions

Please subscribe me to your North Central Newsletter *

Yes Please!

No Thanks

I'm already Subscribed

I'm interested in volunteering for Kid Central. No need to be skilled in any area, we encourage our parents to be involved with their kids while they're learning gospel truths. *

Yes, please contact me.

No, not at this time.

Name of Child

First & Last Name *

Child Date of Birth *

Child School Grade *

Child Gender

Address

Child Home Address

Child Home City

Child Home Zip Code

Child Home State

Please list any allergies, pertinent medical information OR special needs along with the name of the child they are associated with:

Child Allergies

Child Emergency Contact Name *

Child Emergency Contact Number *

Special Needs

Child Photo Release *

Your Signature (Please Type Your Name) *

Office Use Only: