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Kids for Christ Registration
Please complete a new registration for each home address. All fields are required.
Parent/Guardian Name:
*
Name of child(ren):
*
Phone:
*
Email Address:
*
Home Address:
*
Do you need the church van to pick your children up?
*
Yes
No
Do you give Southside Baptist Church permission to use pictures and/or video of your child on social media?
*
Yes
No
Please list any allergies and/or medical information we should be aware of.
Submit