2022-2023 TeamKID Registration Form
Please fill out this form and click submit.
Child's Name
*
Gender
*
Please select one option.
Male
Female
Select Option
Male
Female
Birthday
*
Grade
*
Please select one option.
Nursery
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Select Option
Nursery
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Parent/Guardian Name
*
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
Phone
*
Email
Church Name (if applicable)
Emergency Contact Name
*
Emergency Contact Phone Number
*
Who may pick your child up at the end of TeamKid
Child's Food Allergies
Insurance Company
Policy Number
I The Parent/Guardian named above, if I am unable to be reached, permission is granted to seek emergency medical treatment for the child named above, In case of an emergency.
*
Please select all that apply.
Agree
Comment
Submit
Description
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