Phone number *
Phone type Mobile Home Work Other
Household members
Include your spouse with the "Marital Status" as Married. They will be the only other approved adult that can check out your children. The exception is if you include other adult household members on this registration (i.e. grandparents, divorced/separated spouse, etc.)
+ Add adult + Add child Contact Information for Youth***
If your youth have an email address or phone number that you are willing to share, please include this information. *** They will only be contacted under your supervision unless otherwise specified ***
If allergies were noted, please tell us how severe the allergy is with the name of the allergy.
Example: peanuts cause rashes Allergies can include, but are not limited to food/drink, animal, or environment related.
Is your family new to Kairos Church? *
Select… Yes No No, but we have spent time here before
If you check this box, we will be contacting you soon. We want to support you and your family well. Our Family Ministries will do our best to accommodate your children's needs.
Relationship to the children in your family *
Relationship to other children on this registration
Kairos Youth is a place of belonging and exploration of a relationship with Jesus and others. Technology and phones are an integral part of our everyday lives, but so are people . Technology, especially a phone, is okay to have with you at Youth gatherings, but we ask that they not be used during teaching and discussion times—leave them in pockets, bags, screens facedown or out of your line of sight. This is so that everyone is allowed the opportunity to receive the best of you in your presence and discussion. We value what you have to say because we love you . Even if you have nothing to say, we still want you to be present with us! By checking this box, I acknowledge that I have read this statement to my youth and that they agree to this statement and course of action. If this cannot be followed, we will ask that their technology be placed in a "tech hotel" on site during our youth gatherings. There is room for our leader team to ask that students leave their phones at home. Further action will necessitate a conversation with the student and one of their parents. Note: there will be times where phones will allowed, but will be gathered in a central location for non-active usage such as the Youth Retreat. Other exceptions will be made such as for medical/mental health needs. Contact Pastor Jason for these exceptions.
How can we be praying for you and your family? *
Would you like to tell us anything about your family to get to know you better?
If you wish not to share anything, you can leave this blank or type "n/a."
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