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Kick off party Sunday – June 25 at 4 p.m.
Huge blow up slides • Baseball Game • Basketball Game • Snow cones

For children age 4  – just completing 6th grade
The God who created the universe created you too & He Loves you!

ONLINE REGISTRATION

    Child's Name

    Age

    Grade Just Completed

    Please list any allergies, medications, or other relevant information


    Child's Name

    Age

    Grade Just Completed

    Please list any allergies, medications, or other relevant information


    Child's Name

    Age

    Grade Just Completed

    Please list any allergies, medications, or other relevant information


    Child's Name

    Age

    Grade Just Completed

    Please list any allergies, medications, or other relevant information


    Parent or Guardian*

    Address

    City, State, Zip Code

    Cell Number*

    Secondary Contact Number

    Email Address

    Emergency Contact other than parent or guardian

    Emergency Contact Phone Number

    Allowed to pick up other than Parent or Guardian (name & phone number)