Welcome to Authentic Life KidZone!

Thank you for pre-registering your children for Kid Zone. By completing this form we will have your family in our computer system prior to your arrival expediting your check in process.

**This form is not for Kid Zone Wednesdays. This is for families who have not been to Authentic Life Church before. Thank you.

Parent name

*

Parent name

Phone

*

Email

*

This address will receive a confirmation email

Address

*

Child name

*

Grade

*

Please select one option.

Nursery 12weeks - 18mo Toddler 19mo thru 2 yrs PreK 3yrs - 5yrs Kindergarten 1st 2nd 3rd 4th 5th

Birthdate

*

Allergies (if none please put n/a)

*

Child name

Grade

Please select one option.

Nursery 12weeks - 18mo Toddler 19mo thru 2yrs PreK 3yrs - 5yrs Kindergarten 1st 2nd 3rd 4th 5th

Birthdate

Allergies (if none please put n/a)

*

Child name

Grade

Please select one option.

Nursery 12weeks - 18mo Toddler 19mo thru 2yrs PreK 3yrs - 5yrs Kindergarten 1st 2nd 3rd 4th 5th

Birthdate

Allergies (if none please put n/a)

Any additional children and grades/birthdates/allergies

Description

Thank you for pre-registering your children for Kid Zone. By completing this form we will have your family in our computer system prior to your arrival expediting your check in process.

**This form is not for Kid Zone Wednesdays. This is for families who have not been to Authentic Life Church before. Thank you.

Please Fix the Following

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