Kingman Mennonite Church
1620 South Main Street
Kingman, KS 67068
ph: (620) 532-5990
kmcsec

Child's Name ______________________________________
Age_________________Grade completed at school_______
Parent/Guardian ____________________________________________________________
Address________________________________________________________________
Telephone______________________________________________________________
E-mail______________________________________
Please e-mail to kmcsec@sbcglobal.net OR mail to P.O. Box 306, Kingman, KS 67068
Kingman Mennonite Church
1620 South Main Street
Kingman, KS 67068
ph: (620) 532-5990
kmcsec