King’s Court Kids Club

Midweek Neighbourhood Children’s Program
Tuesday’s * 4-6pm * JK – Gr. 6
Games * Crafts * Music * Snacks * Dynamic Lessons

Check-in is from 4:00-4:15 * Doors do NOT open before 4:00pm
If the buses are cancelled due to inclement weather King’s Court Kids Club is cancelled

TO ENSURE A SPOT FOR YOUR CHILD PLEASE COMPLETE AND SUBMIT THE FORM BELOW (one form for each child)

Parent/Guardian Name(required)

Parent/Guardian Name

Cell and/or Home Phone(required)

Parent/Guardian Email(required)

Child's Name(required)

Date of Birth(required)

Grade Child is in this year(required)

Address(required)

City(required)

Province(required)

Postal Code(required)

Medical Information: Medical information we need to know. Please include any food allergies (if none please type NONE)(required)

Emergency Contact Name(required)

Emergency Contact Phone Number(required)

Who may pick up your child at the end of KCKC - Children will only be released to those listed here(required)

May we have permission to photograph your child to use in church promotional materials?(required)

Yes No Only Print Materials - Not Website or Facebook

I am aware that this is simply a registration form to secure a King's Court Kids Club spot for my child and that a permission slip/waiver will need to be signed upon dropping off my child) to complete the registration process(required)

I am aware

Additional Comments

Kingscourt Free Methodist Church

Your Neighbourhood Church

King’s Court Kids Club