Skip to main content
Kingdom
Builders King's Kids
Kingdom
Builders King's Kids
Home
About Us
Enrollment
Contact
Forms, Policies and Handbooks
Full Mission Statement
Health And Safty Policy Docx
Word – 18.2 KB
131 downloads
Download
Discipline Handbooki Docx
Word – 18.5 KB
106 downloads
Download
Mission Statement Docx
Word – 14.0 KB
99 downloads
Download
Kbkk Brocure Docx
Word – 18.3 KB
88 downloads
Download
Parent Handbook Docx
Word – 17.5 KB
94 downloads
Download
Child Protection Policy Docx
Word – 16.0 KB
96 downloads
Download
Parent Waiver Docx
Word – 14.0 KB
104 downloads
Download
Discipline Handbooki Docx
Word – 18.5 KB
100 downloads
Download
Volunteer Agreement Docx
Word – 14.1 KB
93 downloads
Download
Safety Emergency Plan Docx
Word – 13.8 KB
107 downloads
Download
KINGDOME BUILDERS KINGâS KIDS â Child Care Application Form
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:
Yes
No
Consent for Participation in Activities:
Yes
No
Agreement to Follow Facility Policies and Procedures:
Yes
No
Additional Information
Signatures
Parent/Guardian Signature:
Date:
Submit Application