2023 - 2024 Registration for Dutilh Kidz

Parent or Caregiver's Name

First Name

Last Name

Parent or Caregiver's Phone

(###)

###

####

First Child's Name *

First Name

Last Name

Birth Date

MM

DD

YYYY

Second Child's Name

First Name

Last Name

Birth Date

MM

DD

YYYY

Third Child's Name

First Name

Last Name

Birth Date

MM

DD

YYYY

Fourth Child's Name

First Name

Last Name

Birth Date

MM

DD

YYYY

Kingdom Kidz (3 years old - 3rd grade) during 9:30 a.m. service *

Yes

No

Kingdom Kidz (3 years old - 3rd grade) during 11 a.m. service *

Yes

No

Kingdom Quest (4th and 5th grade - 9:30 a.m. service only) *

Yes

No

Kingdom Builders (6th Grade Confirmation Class - 9:30 service only - Must attend parent meeting in August.) *

Yes

No

Kingdom Choir (3 years - 6th grade) meets at 10:30 on Sunday *

Yes

No

FISH (4th - 6th grades) - Meets Sunday evenings, twice per month *

Yes

No

FISH Jr. (1st - 3rd grades) Meets Sunday evenings, once per month *

Yes

No

Kingdom Cradle (infant - age 3) - Sunday mornings at 9:30 and 11 a.m. services *

Yes

No