Avondale Adventures Registration Form FALL 2022

REGISTRATION FORM - FALL 2022

Please register each child individually.

Child's Full Name:*

Goes by*

Age*

Grade*

Best Phone for Family:*

Home Address _Street*

Home Address_City, State, Zip*

1. Parent/Guardian Full Name:*

1. Mobile Phone #:*

1. Work/Other Phone #:*

if no other phone, retype main phn #

1. Email*

example@example.com

2. Parent/Guardian Full Name:

can put an Emergency Contact here, if you prefer

2. Mobile Phone #:

2. Work/Other Phone #:

2. Email address:

example@example.com

In case of emergency (if parents/guardians cannot be reached), please contact:

Name(s):*

Relationship:*

neighbor, grandparent, etc...

Phone #(s)*

Please list any allergies, food allergies, or medical needs that the Avondale Adventures team should be aware of.*

if none, type none

Tell us about your child! Is there anything that you would like to share that may make their time more enjoyable?*

type none if no comments

How did you hear about Avondale Adventures?*

Friend, social media, Avondale email/member, family member, etc..

I will be registering another child:*

siblings?

I will submit Payment to Avondale Presbyterian Church by: (choose 1)*

options to pay and your preference

THANK YOU FOR YOUR REGISTRATION!
We look forward to the next Adventure with you!

Please note that registration is complete once payment and form are received. Registration closes September 27, 2022.

To mail/drop-off your payment: Write in Memo line: “Avondale Adventures"
Avondale Presbyterian Church, 2821 Park Rd, Charlotte, NC 28209
There is a black mailbox on the wall outside the Church Office, if you drop-off.

FYI: Emails from Avondale are sent using our partner software (registration form uses JotForm and our Avondale Adventure emails will be sent via Constant Contact), please keep an eye out for these. (Sometimes they go into your email folders, like Updates.) Thanks!

If you have any questions, contact us! Call the church office at 704-333-6194 or email us at Rich Stanley.

Tell a friend about Avondale Adventures!

avondalepresbychurch.org/avondaleadventures

Payment

Avondale Adventures Registration$50 Per Child

$50.00 Quantity
Item subtotal:$0.00

Total

$0.00