Citylight Kids Family Registration

Sundays @ 8:00am, 9:30am & 11:15am | Please fill out one form per child if you would like to use Citylight Kids. We provide for children 8 weeks- 5th grade.

Parent's Name

Email

This address will receive a confirmation email

Phone

Address

Child's Name/Nickname

Child- DOB

Child- Allergies

Child

Please select one option.

Male Female

Grade

Please select one option.

N/A K 1 2 3 4 5

Photo Release

Please select one option.

Yes No

Description

Sundays @ 8:00am, 9:30am & 11:15am

Please fill out one form per child if you would like to use Citylight Kids. We provide for children 8 weeks- 5th grade.

Please Fix the Following

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