Friday Fun Night Sign-Up

To register, please complete this form for each child who plans to attend Friday Fun Night.

Child Information






May KidConnection staff provide medical treatment?
Is the child covered by personal/family medical insurance?


Parent/Guardian Information










(this is our primary way of providing information to you)

Emergency Contact Information






Photo Permissions

Please read the Photo Permission Agreement before continuing.
 
- or -
 
 
 
 

Participation Agreement