Kids 'n Kinship Child Application

Welcome

Prior to filling out a Child Application, we strongly recommend that you read "Is Kids 'n Kinship Right for My Child" and the "Parent/Guardian FAQ". They can be found in the drop down menu under Child Information.

Child Information

Legal First Name *This question is required.

Legal Last Name *This question is required.

Preferred First Name *This question is required.

Date of Birth *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

Gender Identity *This question is required.

Preferred Gender Pronouns

Height

Weight

Street Address *This question is required.

Apt/Suite

City *This question is required.

State *This question is required.

Zip *This question is required.

Email Address *This question is required. This question requires a valid email address.

Phone Number (if you do not have a phone number, type N/A) *This question is required.

Mobile Phone (if you do not have a mobile phone number, type N/A) *This question is required.