Cornerstone’s Kids Membership Please complete the form below to enroll your child/children in Cornerstone’s Kids. First name Last name Name of Parent or Guardian Mailing Address (Required to receive Welcome Packet) Email Phone T-Shirt Size Birth Date Is this child grieving the loss of a loved one? YesNo If yes, would the child like to receive a sympathy card in the mail each year? YesNo If yes, what month did the child experience their loss? —Please choose an option—JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember