Service Times:

  • Cross Training at 9:00am
  • Worship Service at 10:30am
  • Coffee Hour: After Worship
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    Kids Club Registration 2015

    Kids Club is a midweek program that’s designed to grow your childs Biblical knowledge and faith while having fun and making new friends. Kids Club is held each Thursday night beginning September 10th from 6:00 pm to 7:30pm for children Pre-K through 5th grade.

    PARENT'S INFORMATION

    Parent First Name (required)

    Parent Last Name (required)

    Phone Number (required)

    Email

    Address

    City

    Emergency Contact Name

    Emergency Contact Number

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    CHILD INFORMATION

    Child #1 First Name (required)

    Child Last Name (required)

    Age (required)

    Birthday (required)

    Gender
     Male Female

    Last School Grade Completed
     Pre-K Kindergarten 1st 2nd 3rd 4th 5th

    Allergies (Food or Environmental)

    Please note that a snack will be provided every evening so make sure to speak to the leaders regarding allergies listed on this form.

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    Child #2 First Name (required)

    Child Last Name (required)

    Age (required)

    Birthday (required)

    Gender
     Male Female

    Last School Grade Completed
     Pre-K Kindergarten 1st 2nd 3rd 4th 5th

    Allergies (Food or Environmental)

    Please note that a snack will be provided every evening so make sure to speak to the leaders regarding allergies listed on this form.

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    COMMENTS OR SPECIAL INSTRUCTIONS