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BR KidServe Application
Error
Application Entry
Child's First Name
Child's First Name is required.
Child's Last Name
Child's Last Name is required.
Child's Birthday
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1911
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1907
1906
1905
1904
1903
1902
1901
1900
Child's Birthday cannot be a future date.
Child's Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Child's Grade is required.
Service Child Attends
1st
2nd
3rd
Service Child Attends is required.
Small Group Leader
Why do you want to serve in KidServe?
Why do you want to serve in KidServe? is required.
Which KidServe Team interests you most?
Amped
Reach & Equip
Have you asked Jesus to be the leader of your life?
Have you asked Jesus to be the leader of your life? is required.
If you have, please tell us how that happened.
Parent/Guardian's First Name
Parent/Guardian's First Name is required.
Parent/Guardian's Last Name
Parent/Guardian's Last Name is required.
Parent/Guardian's Email
Email address is not valid
Parent/Guardian's Email is required.
Parent/Guardian's Mobile Phone
Parent/Guardian's Mobile Phone is required.
Parent/Guardian's Address
VA
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
WA
WV
WI
WY
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