CPKiDS Registration Form

This form is to register your child to participate in CrossPoint's CPKiDS programs. Please fill out this form for your child and click submit.
**Only one child per form, please.

Name:

*

Birthdate:

*

Address:

*

Parents/Guardian Names:

*

If guardian, what is your relationship?

Parent Email:

This address will receive a confirmation email

Parent Phone:

*

Current Room/Grade:

*

Please select all that apply.

Nursery (newborn-2yrs) Preschool (2yrs-5yrs) Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade

Known Allergies:

Any special accommodations that we should make for your child (handicap access, potty training, not permitted certain snacks, etc.):

Description

This form is to register your child to participate in CrossPoint's CPKiDS programs. Please fill out this form for your child and click submit.
**Only one child per form, please.

Please Fix the Following

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