Child Registration

Welcome to Kingdom Authority Ministries International child registration page.

Please fill out the form below to pre-register your child for our Children / Youth Church.

If your child is not yet in school please indicate grade as: Nursery 0-1; Toddler 2-3; pre-school 4.

Name of Parent/Legal Guardian:
First Last
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Name of Child(ren) / Birthdate(s)*
Child's Name Birthdate Grade
Special Instructions (needs, allergies, etc)

Child's Name	Birthdate	Grade