KC Registration Tues PM Life Group Parents
Please note: Childcare for Tuesday Evening Life Groups is $50 per family for one semester, and is only available for infants through 5th grade for groups meeting at PCC.
Please enter PARENT information on this form.
*
Parent/Guardian
First Name
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Parent/Guardian
Last Name
*
Parent/Guardian
Email
*
Parent/Guardian
Mobile Phone
Entering your mobile phone will opt you in for receiving occasional updates (freq may vary) via text message. Reply STOP at any time to opt out. Reply HELP for more information. Message and data rates may apply.
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* I understand that I am pre-registering for childcare at a cost of $50 for the semester. I also understand that if childcare becomes unavailable, I will be refunded.
Select one
Yes ($50.00)
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