Please complete a form for each child to attend DC4K. The info. you provide us is secure and for the use of DC4K staff only.

Thank you for registering your child for DC4K (Divorce Care For Kids) and supplying us with the information requested below. By giving us this info., we will be able to use it to help your child as he/she walks through this difficult time in their lives.

If I am unable to pick up my child, the following person is authorized to do so. A photo identification will be required.

I understand that DC4K is not a counseling service or therapy program, but a biblically based, Christ-centered program to help children of divorce heal in a group setting. DC4K is designed to bring children of divorce into the loving arms of a church family and to feel God's love surrounding them.

Please wait...