K4T Registration Form
Parent/Guardian Information
Parent/Guardian Name
*
First Name
Last Name
Relationship
*
Relationship to the Child/Children (ex. mother, father, grandparent, stepfather, etc.)
Email
*
example@example.com
Phone
*
-
Area Code
Phone Number
Cell Phone
-
Area Code
Phone Number
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is there another legal guardian?
Yes
No
Parent/Guardian Name
*
First Name
Last Name
Relationship
*
Relationship to the Child/Children (ex. mother, father, grandparent, stepfather, etc.)
Email
*
example@example.com
Home Phone
-
Area Code
Phone Number
Cell Phone
*
-
Area Code
Phone Number
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Child/Children Information
Total Kids
1
2
3
4
5
6
7
8
9
10
How many children are you registering for Kids4Truth?
Student Info
*
Name
First Name
Last Name
Birthday
-
Month
-
Day
Year
Date
Grade
Preschool-Kindergarten
1st-2nd Grade
3rd-4th Grade
5th-6th Grade
Name
First Name
Last Name
Birthday
-
Month
-
Day
Year
Date
Grade
Preschool-Kindergarten
1st-2nd Grade
3rd-4th Grade
5th-6th Grade
Name
First Name (Child 4)
Last Name
Birthday
-
Month
-
Day
Year
Date
Grade
Preschool-Kindergarten
1st-2nd Grade
3rd-4th Grade
5th-6th Grade
Name
First Name (Child 5)
Last Name
Birthday
-
Month
-
Day
Year
Date
Grade
Preschool-Kindergarten
1st-2nd Grade
3rd-4th Grade
5th-6th Grade
Name
First Name (Child 6)
Last Name
Birthday
-
Month
-
Day
Year
Date
Grade
Preschool-Kindergarten
1st-2nd Grade
3rd-4th Grade
5th-6th Grade
Name
First Name (Child 7)
Last Name
Birthday
-
Month
-
Day
Year
Date
Grade
Preschool-Kindergarten
1st-2nd Grade
3rd-4th Grade
5th-6th Grade
Name
First Name
Last Name
Birthday
-
Month
-
Day
Year
Date
Grade
Preschool-Kindergarten
1st-2nd Grade
3rd-4th Grade
5th-6th Grade
Name
First Name
Last Name
Birthday
-
Month
-
Day
Year
Date
Grade
Preschool-Kindergarten
1st-2nd Grade
3rd-4th Grade
5th-6th Grade
Name
First Name
Last Name
Birthday
-
Month
-
Day
Year
Date
Grade
Preschool-Kindergarten
1st-2nd Grade
3rd-4th Grade
5th-6th Grade
Name
First Name
Last Name
Birthday
-
Month
-
Day
Year
Date
Grade
Preschool-Kindergarten
1st-2nd Grade
3rd-4th Grade
5th-6th Grade
Medical Comments
Please list below any allergies or medical concerns that you would like us to know about your child/children.
Kids4Truth- Registration Cost
Registration costs $20 per child (includes TruthBook, K4T jersey, and more). Capped at $50 for 3+ kids in a family. If no jersey is needed, the cost is $10 per child.
Please enter the name and shirt size of each child that needs a jersey. Available shirt sizes are Youth XS, Youth S, Youth M, Youth L, Adult S, Adult M, and Adult L.
Form of Payment
*
Credit
Cash/Check
K4T Registration Payment
prev
next
( X )
USD
Description
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
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