SCC Kids Registration Form

Thank you for visiting SCC Kids! Please fill out the below information so we can best serve you and your family.

Parent/Guardian Information

First Name

Last Name

Email

Phone Number

Child Information

First Name

Last Name

Birthdate

Gender

Grade

Allergies/Medical Information

Is there anything about your child we should know to help their experience in SCCKids?

Photo/Video Release Waiver

I authorize the use of photos and videos taken of the above minor to be used in publication, social media posts and display by the staff of Switzerland Community Church.

Select One

Yes

No