Kidz Zone Sunday and KZ M3 Club Registration

Sunday 9:00 Bible study small groups
10:30 Kidz Zone worship
Groups for Birth thru 5th grade

Wednesday 6:00 – 7:30
Groups 3 years old thru 5th grade
Energetic fun night of memory, missions, and music!
A Family meal is offered at 5:30 pm.

Please fill out the registration form below, or call the church office if you need more information – 407-644-3061.

What day are you interested in?

Wednesday - Groups 3years old - 5th grade; energetic fun night of memory, missions and music! A family meal is offered at 5:30pm

Sunday

Both

Child's Name (First and Last)

Child’s Birthdate(MM/DD/YYYY)

Child’s Age

Child’s Grade Just Completed (K-5th)

If not in school yet, leave blank

Parent/Guardian Name (First, Last)

Parent Email

Parent Cell #

Parent Home Phone

Street Address

City

State

Zip

Medical Concerns (Allergies, etc.)

Other Information

Additional Adult Authorized to Pick Up Child (other than parent)

Contact Phone #

Additional Adult Authorized to Pick Up Child (other than parent)

Contact Phone #

Do you give permission for us to use pictures of your child for social media?

Yes

No

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