Please fill out this form separately for each child.

Kids Information Form

Please fill out and submit this form individually for each child.

Name (Required)

Email Address (Required)

Your Phone Number (Required)

Your Address

Additional adults in the household

Child's Name (Required)

Child's Birthday (Required)

Allergies/Medical Information (Required)

Sunday School Group

Please select the age group your child falls under for our Sunday School classes.

School Attended

Extracurricular Activities

T-Shirt Size

What conversations/questions has your child had concerning Christian faith?

Emergency Contact #1 (Required)

In the event of an emergency, let us know who we should contact. Please include the name, phone number, and relationship to the child.

Emergency Contact #2

In the event of an emergency, let us know who we should contact. Please include the name, phone number, and relationship to the child.

People Authorized for Pick Up

Additional Notes

Solve 8 + 2 = ?

University Baptist Shawnee OK