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
*
Parent/Guardian
Last Name
*
Parent/Guardian
Email
*
Parent/Guardian
Mobile Phone
* 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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