2011-2012 COS Kids Friday Fun Night

Register for great childrens programs!

Complete the following registration form to reserve your spot! Paper forms can be found in the main office.

Registration submission does not guarantee your spot. Susie Taylor or one of the Early Christian Education staff will e-mail confirmation of your child's registration. If you do not receive an e-mail confirmation within one week of your registration, there may be a problem with your registration, please contact Susie directly (513) 307-1837 to confirm your spot.


How many children will you be registering?
Changing this will reset your form.
Child #1
Full Name:
Nick Name:
Date of Birth:
Grade Completed (If Applicable):
Allergies, Special Needs,
or Comments:
Gender:M
F
Permission to change diaper and/or
help with bathroom needs:
Yes
No
Dates Available for Registration:
Date Fri
Sep9
Nov4
Dec9
Jan27
Feb24
Mar16
Apr27
Parents Names:
Address: (street, city, zip)
Home Phone:
Work Phone:
Cell Phone:
E-mail:
Home Church:
Who may we thank for bringing you?
Please click here to start over or register for more programs.