Kids’ Kingdom Registration 2021-22Registration Kids' Kingdom Registration 2021-22 Child Name Birthdate Current Grade Allergies/Medical Concerns Child's Name Birthdate Current Grade Allergies/Medical Concerns Child Name Birthdate Current Grade Allergies/Medical Concerns Parent Name Address Phone Email Emergency Contact Name Emergency Contact Phone I give Augustana Lutheran Church to use my child's picture in church publications and social media. YES NO If you are human, leave this field blank. SubmitΔSeptember 14, 2021/by Carla Pfeifer https://staging1.augustana.com/wp-content/uploads/2019/04/Augustana-Logo_reversed-300x60.png 0 0 Carla Pfeifer https://staging1.augustana.com/wp-content/uploads/2019/04/Augustana-Logo_reversed-300x60.png Carla Pfeifer2021-09-14 19:50:032021-09-14 19:50:03Kids’ Kingdom Registration 2021-22