Kids 4 Truth Registration

Thank you for joining us for our Kids 4 Truth children’s activities. Please complete the form below to help us keep in contact with you and to keep your child safe.

Please complete the form below

Student's Name

First Name

Last Name

Student's Age

Guardian/Parent Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Known Allergies

Approved Pick-up Individual(s)

Full Name(s)

Emergency Contact(s)

Name and phone number