Contact | Kingdom Builders King's Kids

Information

Do you have questions about Kingdom Builders King's Kids? We're here to help! Whether you're curious about our Christ-centered after-school programs, enrollment details, or how we invest in the lives of the next generation through Love, Learning, and Life achievements, we're ready to assist. Our goal is to make you feel confident and welcomed as you consider joining our family.

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Contact us

Location

431 Kylea Laird Dr
32439 Freeport

KINGDOME BUILDERS KINGâS KIDS â Child Care Application Form

Child Information

Full Name: Date of Birth: Address: Allergies or Medical Conditions:

Parent/Guardian Information

Full Name: Relationship to Child: Phone Number: Email Address:

Emergency Contact Information

Full Name: Relationship to Child: Phone Number:

Authorized Pick-Up Persons

Full Name: Relationship to Child: Phone Number:

Medical Information

Physician's Name: Physician's Contact Information: Health Insurance Information: Immunization Records: Special Medical Needs or Instructions:

Consent and Agreements

Consent for Emergency Medical Treatment: Consent for Participation in Activities: Agreement to Follow Facility Policies and Procedures:

Additional Information

Signatures

Parent/Guardian Signature: Date: