CKC Registration 2026-2027
CKC Registration 2026-2027
Child 1
First Name
*
Prefered Name
Last Name
*
Gender
*
Male
Female
School Grade
*
Kindergarden
1st
2nd
3rd
4th
5th
School Attending
*
Date of Birth
*
Allergies
Information you would like to share
Add Child 2
*
Yes
No
Child 2
First Name
*
Preferred Name
Last Name
*
Gender
*
School Grade
*
School Attending
*
Date of Birth
*
Allergies
Information you would like to share
Add Child 3
*
Yes
No
Child 3
First Name
*
Preferred Name
Last Name
*
Gender
*
School Grade
*
School Attending
*
Date of Birth
*
Allergies
Information you would like to share
Add 4th Child
*
Yes
No
Child 4
First Name
*
Preferred Name
Last Name
*
Gender
*
School Grade
*
School Attending
*
Date of Birth
*
Allergies
Information you would like to share
Add 5th Child
*
Yes
No
Child 5
First Name
*
Preferred Name
Last Name
*
Gender
*
School Grade
*
School Attending
*
Date of Birth
*
Allergies
Information you would like to share
RELEASE OF LIABILITY
*
I give permission for my child(ren) to participate in Calvary Kids Club (CKC) 2026-2027. I release Calvary Chapel Okinawa, its officers, employees, and agents from any liability whatsoever for any injury, death, loss or damage to property, sustained by any member of my family in attendance. I agree to defend and indemnify Calvary Chapel Okinawa from any liability or loss they might sustain by reason thereof. In the event I cannot be reached in an EMERGENCY, I hereby give permission to the physician selected by the church leadership to hospitalize, secure proper treatment for, and order injection, anesthesia, or surgery for my child(ren) named above. I agree that any photographs taken of my child at Calvary Kids Club (CKC) 2026-2027 by Calvary Chapel Okinawa are the property of Calvary Chapel Okinawa and may be used in future publications as deemed appropriate.
Parent/Guardian Information
Child's
*
Father
Mother
Other
Relationship to child if not father or mother
*
First Name
*
Preferred Name
Last Name
*
Mobile Number
*
Email Address
*
Where do you live?
*
On Base
Off Base
What Base do you live on?
*
What City do you live in?
*
Parent/Guardian or Emergency Contact (Must be different from person above)
Child's
*
Father
Mother
Other
Relationship to child if not father or mother
*
First Name
*
Preferred Name
Last Name
*
Mobile Number
*
Email Address
*
Where do you live?
*
Same as spouse above
On Base
Off Base
What Base do you live on?
*
What city do you live in?
*
Submit