KID'S Club

Online Registration

AVOID REGISTRATION LINES!

Pre-register your child(ren) and get right into all the fun!

Kid's Club fee(s) will be collected the first night you bring your child(ren)

1st child - $20.00

2nd child - $15.00

3rd child - $10.00

4th child - $5.00

5th child + - no additional costs

 

Please provide your Family contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Home Phone
Cell Phone
E-mail

Child 1:

Name
Age
Sex Male Female
Grade Going Into
Allergies

Chils 2:

Name
Age
Sex Male Female
Grade Going Into
Allergies

Child 3:

Name
Age
Sex Male Female
Grade Going Into
Allergies

Child 4:

Name
Age
Sex Male Female
Grade Going Into
Allergies

Child 5:

Name
Age
Sex Male Female
Grade Going Into
Allergies

Emergency Contact Information:

Name
Cell Phone
Home Phone
Other
Grace Baptist Church, Bristol, CT
Copyright © 2006 Grace Baptist Church All rights reserved.
Revised: 12/05/06