• Kerens - Spring Training

    Registration Form

  • Child's Name:* 
  • Grade Level:* 

  • Registration Deadline March 10

  • Parent/Guardian's Name:* 
  • Home Address:* 
  • Home Phone:*

  • Cell Phone:

  • Work Phone:

  • Emergeny Contact:* 
  • Emergeny Contact: 
  • & Phone Number(s):* 
  • & Phone Number(s): 
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  • May someone other than parent/guardian pick up this child?*
      
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  • If Yes, List Names (upon pickup, ID required):

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  • Food Allergies: 
  • Other Allergies: 
  • Medication(s): 
    Medication will need to be dropped with an adult and include times and instructions,

  • I give permission to Kerens First United Methodist Church and VOICE INC to photograph my child for use in newspapers, organizational websites, literature, newsletter, and organizational displays.

    I give permission for my child to walk to Kerens Public Library with adults for story time. I also give permission for my child to use inflatable slides and bounce houses.

    You May: Complete form online, Print & FAX this form to 903-872-5886, drop it off at Bank of America in Corsicana-3rd Floor or drop at Kerens First United Methodist Church.

    NO registration accepted after March 10.



    Parent Signature___________________________________________Date____________________
    Forms submitted online, will require the parents to sign the forms on first day drop off.

  • Email Address: