Courageous Kids Pre-Registration
Please fill out this form & click submit. Mention to the CK Check-In Team that you pre-registered. Looking forward to worshiping with you!
Parent/Guardian 1
Name
*
Birthday
*
Phone
*
Email
*
This address will receive a confirmation email
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Parent/Guardian 2
Parent/Guardian Name
Birthday
Phone
Email
Child 1
Child's Name
*
Birthday
*
Gender
*
Please select one option.
Male
Female
Select Option
Male
Female
Grade
*
Please select one option.
Garden (0-2yo)
Promise (2-3yo)
PK
K
1st
2nd
3rd
4th
5th
6th-12th
Select Option
Garden (0-2yo)
Promise (2-3yo)
PK
K
1st
2nd
3rd
4th
5th
6th-12th
School
*
How can we best come alongside you in discipleship? Is there anything you would like us to know about your Courageous Kid? Does your CK have any allergies or aversions you can share?
Child 2
Child's Name
Birthday
Gender
Please select one option.
Male
Female
Select Option
Male
Female
Grade
Please select one option.
Garden (0-2yo)
Promise (2-3yo)
PK
K
1st
2nd
3rd
4th
5th
6th-12th
Select Option
Garden (0-2yo)
Promise (2-3yo)
PK
K
1st
2nd
3rd
4th
5th
6th-12th
School
How can we best come alongside you in discipleship? Is there anything you would like us to know about your Courageous Kid? Does your CK have any allergies or aversions you can share?
Child 3
Child's Name
Birthday
Gender
Please select one option.
Male
Female
Select Option
Male
Female
Grade
Please select one option.
Garden (0-2yo)
Promise (2-3yo)
PK
K
1st
2nd
3rd
4th
5th
6th-12th
Select Option
Garden (0-2yo)
Promise (2-3yo)
PK
K
1st
2nd
3rd
4th
5th
6th-12th
School
Best disciple, anything you would like us to know, allergies or aversions?
Child 4
Child's Name
Birthday
Gender
Please select one option.
Male
Female
Select Option
Male
Female
Grade
Please select one option.
Garden (0-2yo)
Promise (2-3yo)
PK
K
1st
2nd
3rd
4th
5th
6th-12th
Select Option
Garden (0-2yo)
Promise (2-3yo)
PK
K
1st
2nd
3rd
4th
5th
6th-12th
School
Best disciple, anything you would like us to know, allergies or aversions?
Have more kiddos? AWESOME! Simply hit submit & fill out the form again. We're so thrilled to partner with you in discipleship!
In Relentless Love,
Your Courageous Kids Team
Submit
Description
Please fill out this form & click submit. Mention to the CK Check-In Team that you pre-registered. Looking forward to worshiping with you!
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