Christ Kids Wednesday Nights 2026-2027
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Child's Name
Birthdate
Gender
Please select one option.
Male
Female
Grade 25/26
Please select all that apply.
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
School your child attends
*
Allergies/Concerns
Parent 1 Name
*
Parent 1 Phone
*
Parent 1 Email
*
This address will receive a confirmation email
Parent 2 Name
Parent 2 Phone
Parent 2 Email
Emergency Contact Name
*
Emergency Contact Phone
*
Submit
Description
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