Christ The King Lutheran Church - KOK Registration 2023

First Name

Last Name

Preferred Name

Address 1

Address 2

City

State

Zip/Postal Code

Date of Birth

Age of Child on 9.1.2023

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

Age requirements by 9/1/2023: 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 $150 - Monthly Tuition $247
First Choice
Second Choice

MDO - T/TH - 9:30am - 2:30pm - Registration Fee $150 - Monthly Tuition $257
First Choice
Second Choice

MDO - 3 days - 9:30am-2:30pm = Registration Fee $175 - Monthly Tuition $383
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 $210 - Monthly Tuition $475
First Choice
Second Choice

3 years - M/T/W - 9am-2pm - Registration Fee $175 - Monthly Tuition $383
First Choice
Second Choice

3 years - M/T/W/TH - 9am-2pm - Registration Fee $210 - Monthly Tuition $475
First Choice
Second Choice

4 years - M/T/W/TH - 9am-2:15pm - Registration Fee $210 - Monthly Tuition $475
First Choice
Second Choice

TransK - M/T/W/TH - 8:30am-2:15pm - Registration Fee $250 - Monthly Tuition $515
First Choice
Second Choice

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

After Care - M/T/W/TH - Between 2-4pm - Registration Fee $30 - PS $8/hour MDO $9/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, check, and Brightwheel electronic payments. The tuition schdule for 2023-2024 school year is 9 equal payments. The first payment is due by August 15, 2023. the next 8 payments are due by the first of each month, September through April. Kids of the Kingdom offers the following discounts: $25 off second child's tuition per month for families with 2+ students enrolled; $10 one-time discount off registration fees for Christ the King church members.

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 Brightwheel for Credit Card Payment ( we will send you an invite for our school )

Kids of the Kingdom Registration 2023-2024

Registration Fee is due at registration and is non-refundable.
February 27-28 Registration for families currently enrolled at KOK
March 1-2 Registration for CTK members and KOK alumni
*March 3 Open Enrollment 8AM

FAMILY INFORMATION

Age requirements by 9/1/2023: MDO 18 months; Preschool 3’s - 3yrs. old/Toilet Trained; Preschool 4’s - 4 yrs. old/Toilet Trained

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

Follow Us

Kids of the Kingdom Registration 2023-2024

Registration Fee is due at registration and is non-refundable.*February 27-28 Registration for families currently enrolled at KOK* March 1-2 Registration for CTK members and KOK alumni*March 3 Open Enrollment 8AM

FAMILY INFORMATION

Age requirements by 9/1/2023: MDO 18 months; Preschool 3’s - 3yrs. old/Toilet Trained; Preschool 4’s - 4 yrs. old/Toilet Trained

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

Follow Us

Registration Fee is due at registration and is non-refundable.
February 27-28 Registration for families currently enrolled at KOK
March 1-2 Registration for CTK members and KOK alumni
*March 3 Open Enrollment 8AM