Kid City 2019-2020
* City, State, Zip
* Which Kid City program are you registering for?
I am registering my son for TreeClimbers or Stockade (boys 1st grade and older)
I am registering my child for Awana (boys 3yrs old-K and girls 3 yrs old-6th grade)
* Kid City Grades
Three Years Old (must be potty-trained)
Four Years Old
* Allergies and/or special needs
* Name of Parent or Guardian
* Parent's Cell #
* Parent's Email
* Emergency Contact #
Authorization Kid City
- I understand that the volunteers & staff of The Chapel will strive to provide the best care for my child. If it becomes necessary to provide emergency care, effort will be made to contact the parent or caregiver. I am aware that neither The Chapel, its staff, or volunteers can assume responsibility for any injury or damage which may occur in connection with the program or activity. In the event medical treatment or other services are required, The Chapel staff and volunteers are hereby empowered to authorize those services deemed necessary.
* Have you read and agree with the Authorization/Release of Liability
Kid City Liability
- Registration is limited and registrants will be accepted on a first-come, first-served basis. I understand that by registering my child, photos and videos will be taken for promotional purposes (including social media) but The Chapel will not publicize my child's name. Kindly note that we will try to accommodate any special needs of our registrants; however, the capabilities of our staff are limited. If your child requires special assistance, please contact us as soon as possible so that we can do our best to make necessary arrangements. All children are required to follow the Kid City rules and directions of the Kid City staff. If this becomes an issue, we reserve the right to ask you to remain with your child or your child may be excluded from the program.
* Have you read and agree with the Parent / Guardian release information
* I am interested in volunteering at Kid City:
Not at this time
Yes- please contact me about volunteering!
Add Another Child
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