Christ The King Lutheran Church - KOK Online Registration

Child's First Name

Child's Last Name

Preferred Name

Address 1

Address 2

City

State

Zip/Postal Code

Child's Date of Birth

Age of Child on 9.1.2025

Gender

Date of Admission

Family Years at KOK

Date of Withdrawal

Sibling names and Ages

Child Lives With:

Custody Documents on File
Yes
No

Church Affiliation

Does your child have any allergies or food allergies? If yes, please explain.
Yes
No

Child Food allergies:

FARE Plan Submitted

Emergency Medication

Does your child have any special needs, illnesses, or medical concerns? If yes, please explain and include any supporting documents or information (email documents to tonib@christ4u.net) to help us best care for your child.

FAMILY INFORMATION

Mother/Guardian Name

Cell Phone

Mom/Guardian Email

Mom/Guardian Employer

Business Phone

Father/Guardian's Name

Cell Phone

Dad/Guardian Email

Dad/Guardian Employer

Business Phone

Please mark 1st and 2nd class choices. Registration fees are NON-REFUNDABLE. All available spaces are filled on a first come, first served basis and waiting lists will begin as soon as a class has filled with paid registration forms. All KOK Classes, including Extended Care options, may cancel for inadequate enrollment.

Age requirements by 9/1/2025: MDO 18 months; Preschool 3’s - 3yrs. old/Toilet Trained; Preschool 4’s - 4 yrs. old/Toilet Trained

MDO - M/W - 9:30am-2:30pm - Registration Fee $190 - Monthly Tuition $265
First Choice
Second Choice

MDO - T/TH - 9:30am - 2:30pm - Registration Fee $190 - Monthly Tuition $275
First Choice
Second Choice

MDO - 3 days - 9:30am-2:30pm - Registration Fee $215 - Monthly Tuition $410
First Choice
Second Choice

KOK will contact you with options for 3 day MDO if available (Please check which days you are interested in)
Monday
Tuesday
Wednesday
Thursday

MDO - M/T/W/TH - 9:30am-2:30pm - Registration Fee $250 - Monthly Tuition $505
First Choice
Second Choice

3 year old - M/T/W 9am-2pm - Registration Fee $215 Monthly Tuition $410
First Choice
Second Choice

3 year old - M/T/W/TH - 9am-2pm - Registration Fee $250 Monthly Tuition $505
First Choice
Second Choice

4 year old - M/T/W/TH - 9am-2:15pm - Registration Fee $250 Monthly Tuition $505
First Choice
Second Choice

TK - M/T/W/TH - 8:30am-2:15pm - Registration Fee $290 Tuition $550
First Choice
Second Choice

Before Care - M/T/W/TH - Between 8-9:30am - Registration Fee $40 - $15/hour
First Choice
Second Choice

After Care - M/T/W/TH - Between 2-4pm - Registration Fee $40 - $15/hour
First Choice
Second Choice

KOK follows Humble ISD Elementary School calendar except for our start and end date. Our classes begin on Tuesday, August 15, 2023 and end on Thursday, May 23, 2024

AUTHORZIED PEOPLE TO PICK UP YOUR CHILD AND EMERGENCY CONTACT (OTHER THAN PARENTS)

KOK will only release children to a parent/guardian or to a person designated by the parent/guardian after verification of ID. I give permission for KOK staff to release my child to an authorized person below without contacting me in advance.

Parent Printed Name:

Parent Signature. (By typing your name you authorize this as your signature)

Today's Date

Authorized people:

Name

Relationship

Phone

Cell Phone

Address

Name

Relationship

Phone

Cell Phone

Address

Name

Relationship

Phone

Cell Phone

Address

MEDICAL INFORMATION

Child's Doctor

Phone

Insurance

Insurance Phone Number

Policy/Group Numbers

GENERAL PERMISSION - PLEASE READ EACH SECTION AND SELECT YES OR NO

I have read and understand the Kids of the Kingdom Parent Handbook and Pandemic Plan and agree to adhere to the policies and procedures as stated. The parent handbook and pandemic plan are available online at christ4u.net and paper copies are available in the KOK Office
Yes

My child's name, parent names, and family phone number can be included in the classroom directory and share with my KOK class parents
Yes
No

My child may participate in water table play activities
Yes
No

FOOD PERMISSION

I understand that KOK does not serve meals and I will provide lunch and snack for my child daily. KOK is not responsible for the nutritional value of the food or for meeting my child's daily food needs.
Yes

My child has permission to participate in food activities
Yes
No

My child has a food allergy, and I must be contacted prior to any food activities.
Yes
No

EMERGENCY CARE

Kids of the Kingdom will provide first aid and take appropriate measures including contacting the emergency medical services (EMS) system. Kids of the Kingdom will arrange for emergency transportation to Memorial Hermann Northeast in Humble or the nearest emergency medical facility, if necessary. At no time will a staff member drive with my child, unless accompanied by another adult. My child will be transported by an ambulance or other such vehicle if necessary. I understand that no emergency treatment may be given without parental consent, except in a life-threatening situation. I hereby authorize Kids of the Kingdom to follow this procedure.

Parent Signature (by typing your name you authorize this as your signature)

Today's Date

*KIDS OF THE KINGDOM accepts cash, chaecks, and Procare electronic payments. The tuition schedule for 2025-2026 school year is as follows: August 15, 2025 a pro rated amount is due, each month thereafter there will be 9 tuition payments due on the 1st of each month September through May. A late payment free of $35 will be applied to accounts after the 10th of each month.

We do not have online payment for this form. To pay for registration please select one of the following choices
Check
Cash
Sign up on Procare for Credit Card Payment ( we will send you an invite for our school )

Kids of the Kingdom Registration 2025-2026

Registration Fee is due at registration and is non-refundable.

FAMILY INFORMATION

AUTHORZIED PEOPLE TO PICK UP YOUR CHILD AND EMERGENCY CONTACT (OTHER THAN PARENTS)

Authorized people:

MEDICAL INFORMATION

GENERAL PERMISSION - PLEASE READ EACH SECTION AND SELECT YES OR NO

FOOD PERMISSION

EMERGENCY CARE

Service Times

Contact Info

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