KidZone Registration & Medical

KidZone meets the 1st Wednesday of every month. Classes are designed for boys and girls ages 4 through 6th grade. There is a secure check-in process and screened teachers who will lead your children in fun activities while teaching them to treasure Jesus!

There is nursery available for children age 3 and younger and youth ministry for 7-12th graders.

Child Information

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

T-Shirt Details

PLEASE NOTE: After submitting the form, you will be asked to click the link to our online giving to purchase the t-shirt(s). Please select "KidZone T-Shirts" and pay $10 per shirt. You can also pay with cash/check at the time of picking up the t-shirt(s). 

The child listed has my permission to participate in all Kid Zone activities associated with North Central Church.

I understand that North Central Church and their sanctioned members are not liable in case of accident. I understand that every precaution will be taken to provide a safe and secure environment for my child. I assume all risks associated with the activities inherent to those environments.

In the event I cannot be reached to make arrangements for emergency medical care at the time of illness or accident, I hereby authorize North Central Church to take my child to the nearest hospital with emergency care for my authorized treatment.

 

Name of Parent/Guardian

Address

Tip: If different address than child

Contact Information

Tip: other than Parent/Guardian listed above

Tip: other than Parent/Guardian listed above

Additional Questions