Skyline Kids/Nursery Registration

Please fill out this form and click submit.

Parent/Guardian Info

Date:

*

Head of Household:

*

Spouse (if applicable):

*

Address

*

Phone

*

Email

*

This address will receive a confirmation email

Child's/Children's Info:

Child's Name:

*

Gender:

*

Please select one option.

Male Female

Birth Date:

*

Grade:

*

Please select one option.

Nursery - 0-36 months Preschool 3 - 5 Kindergarten 1st 2nd 3rd 4th 5th

Allergies/Special Needs:

*

Child's Name:

Gender:

Please select one option.

Male Female

Birthdate:

Grade:

Please select one option.

Nursery - 0-36 months Preschool 3-5 Kindergarten 1st 2nd 3rd 4th 5th

Allergies/Special Needs:

Child's Name:

Gender:

Please select one option.

Male Female

Birthdate:

Grade:

Please select one option.

Nursery - 0-36 months Preschool 3-5 1st 2nd 3rd 4th 5th

Allergies/Special Needs:

List anyone NOT authorized to remove your child from Nursery or Kids' Church:

Name: _________________________________________

Description

Please fill out this form and click submit.

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