Club 56 Registration

Club 56 Registration

5th & 6th Grade | One Form Per Student
Sundays, 4:30 - 6:00pm
Tweens invited to join us in the Youth Building for a time of food, fellowship, worship, devotion, and accountability.
Student Info

Let us know if you're joining us!
Name*

First NameLast Name
Age *
Completed Grade*
Allergies or Special Needs
Parent/Guardian Info
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Persons Permitted to Pick Up Student
Should be Empty:

Student Info