FPU Childcare Registration


If you have any questions please call the church office at 316.688.4400.

*Address Line 1
Address Line 2
*City
*State/Province/Region
*Zip/Postal Code
*Attendee's Gender:
*Attendee's Birthday:
*Attendee's Marital Status:
If Married, Spouse's First & Last Name:
*If Married, will spouse also be attending this class?:

Childcare reservations are required for all weekly FPU / The Legacy Journey classes. Central Kids programming is provided free of charge for children who are six weeks old through 5th Grade.

For Sunday Morning classes, children will be checked into the normal Central Kids programming offered during our church services.

*Do you need childcare for the weekly classes?:
Do you agree to allow Central Christian Church to use photos, videos or statements of your child in church-created publications, media releases, information displays, websites, social media and/or other electronic media. No personal address, phone number or email address will be included. Please answer Yes or No for each child that will be in our care during this event.:
Child #1 First & Last Name:
Child #1 Gender:
Child #1 Birthday (mm/dd/yyyy):
Child #1 Grade (if applicable):
Child #1 Allergy / Special Need:
Child #1 Photo/Media Release:
Child #2 First & Last Name:
Child #2 Gender:
Child #2 Birthday (mm/dd/yyyy):
Child #2 Grade (if applicable):
Child #2 Allergy / Special Need:
Child #2 Photo/Media Release:
Child #3 First & Last Name:
Child #3 Gender:
Child #3 Birthday (mm/dd/yyyy):
Child #3 Grade (if applicable):
Child #3 Allergy / Special Need:
Child #3 Photo/Media Release:
Child #4 First & Last Name:
Child #4 Gender:
Child #4 Birthday (mm/dd/yyyy):
Child #4 Grade (if applicable):
Child #4 Allergy / Special Need:
Child #4 Photo/Media Release: