N360 Kids

Our vision is to create an environment where our children can discover who God is, pursue after Him and develop a relationship with Him. We desire for our children to grow in their love for Christ and positively influence their environment wherever they go.

Parent/Guardian Name

First Name

Last Name

Child(ren)'s Name and Grade Completed

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Medical Information/Allergies

Emergency Contact

T-Shirt Sizes (youth) for each Kid

May we have permission to photograph your child(ren)?

May we have permission to use your child(ren)'s photography for the purpose of promotion?

If your child is in Pre-K is he/she potty trained?

I want my child to participate in the Monday Field Day(5/27 @11AM-1:30PM) & Tuesday Movie on the Lawn (5/28 @5:30PM - 8PM)

There is an additional $10/child for this add on

How did you hear about VBS?

Any questions or concerns?