Join us June 3-6 for an awesome week of games, crafts, music, missions, and Bible study!

Children who are entering Kindergarten (5 years old by August 1) through 6th grade register today!

Parent's Name *
Parent's Name
Parent's Phone Number *
Parent's Phone Number
Child's Name
Child's Name
Address
Address
Age or school grade completed.
Any allergies (food, peanuts, etc.) or medical conditions we should know?
Leave blank if same as the parent.
Emergency Contact Phone
Emergency Contact Phone
Leave blank if same as the parent.
Who may pick up your child at the end of each day? Leave blank if only the parent will be picking up the child.
Does the child attend church anywhere? If so, we'd love to know!
Photo Release *

 

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