Club Membership Registration Form

KIDS’ CLUB REGISTRATION AND TRANSPORTATION FORM
Please return this form to Morning Star.
Child's Name*

First NameLast Name
Grade*
Birth Date:

MonthDayYear
Parents or Guardians Must have names.*
Home Number:

Area CodePhone Number
Cell Number*

Area CodePhone Number
Physical Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mailing Address if different from above.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency contact names and numbers.
Special instructions and food allergies.
My child has my permission to travel from Red Feather Lakes school to Morning Star Community Church in transportation provided by the church every Friday of the month.*

YesNo
They need a booster seat.*

YesNo
Signature*
Thank you!