South Bay Community Church

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* Required

Email Address

Address Line 1 * Address Line 2
City *	State *	Zip Code *

	Area Code	Phone Number
Home Phone *
Work Phone		Ext:

NAME OF KING'S KID: *
SELECT GRADE FROM LIST *
SELECT AGE FROM LIST *
SCHOOL : *
NAME(S) OF PARENTS: *
SPECIFY ALL CATEGORIES THAT APPLY: *	ACADEMIC - EXCELLENCE ACADEMICS - IMPROVED MUSIC, DANCE, OR DRAMA ATHLETIC ACHIEVEMENT SPIRITUAL GROWTH (SEE NEXT QUESTION)
IF YOU CHECKED SPIRITUAL GROWTH ABOVE, PLEASE SPECIFY ONLY ONE OF CATEGORIES LISTED BELOW:	STRONG IN FAITH TRUSTWORTHINESS OBEDIENCE RESPECT HONESTY UNSELFISHNESS FORGIVENESS PEACEFULNESS SELF-CONTROL
WHY AM I A KING'S KID? (User_state ALL OF THE REASONS WHY YOU ARE BEING HONORED AS A KING'S KID): *
PRAYER REQUEST (IDENTIFY ALL FRIENDS, RELATIVES, ETC. WHO SHOULD BE PLACED ON THE PRAYER REQUEST LIST):

Please fill out the above text boxes and the "Why I'm a King's Kid" and "Prayer Request" memo boxes. Once all of the information has been input, click the "SUBMIT FORM" button at the bottom of the page to submit this information to the King's Kids coordinators.

There will be a King's Kids/King's Warriors reception immediately following this service in the Fellowship Hall. Please bring all support items such as report cards, certificates of achievement, trophies, etc. to the Fellowship Hall by 9:00 a.m. on the day of the ceremony so they can be displayed during the reception. Be sure to label all items.

Contact Denise May (rodenise@pacbell.net; 510-888-1414) for additional King's Kids information.