Registration Kingdom Kids One-Year-Olds Two-Year-Olds Payment Contact us Child's Name * First Name Last Name Date of Birth * MM DD YYYY Parent/Guardian Name * First Name Last Name Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Church You Attend How Did You Hear About the Program? Class Registration * One-Year-Old Class; Mondays 9:15-11:15 am Two-Year-Old Class; Tues/Thurs 9:15-11:15 am Thank you!