KQ Registration

In order to attend the Kid's Quest seminar you need to pre-register.  Please print this page, complete the information below and mail to NewDay Services  P.O. Box 471233

Fort Worth, Texas, 76147

 

Forms must be received at least 2 business days before the scheduled event you wish to attend.  If this is not possible, you may reserve a space by phone 817 926-9499 and then bring the completed form with you to the event.

 

Phone Reservations must be made by noon on the Friday before the event.  Walk-ins on the day of the event will be admitted on an "if space is available" basis only!

 

Date of Kid's Quest Session to Attend ______________

 

Parent/Guardian ________________________________

(Will you be attending Access Without Conflict?  Y  N )

 

Address _______________________________________

          _______________________________________

          _______________________________________

 

Phone # ______________________

 

E-mail Address ______________________________

 

Children's names & ages who will be attending

_____________________________________________

_____________________________________________

_____________________________________________

_____________________________________________

Was this attendance court-ordered?      Y        N

If Yes, please list the judge's name or court number below

 

______________________________________________

There will be an additional "Release Agreement" form available at the Kid's Quest site that

MUST BE SIGNED

by a parent or guardian before children can be left.

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