Flyer Request Form
Please allow us three business days to receive your PDF flyer/registration form.
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Your Phone Number
*
Please enter a valid phone number.
Church Name
*
School Name
*
School City, St
*
Room/Location of Club
*
Day of the week
*
Start Date
*
Time of Club (beginning to end)
*
Grades your club will serve
*
Is the contact for the flyer the same as above?
Yes
No
Contact Person's Name
First Name
Last Name
Contact Person's Email
example@example.com
Contact Person's Phone Number
Please enter a valid phone number.
What languages would you like for your flyer?
*
English only
Spanish only
English and Spanish
Would you like a full color version of the flyer or a black and white only option?
*
Full Color
Black and White Only
If you have a maximum capacity for your club, please list the maximum number below (parents who try to register students after capacity is reached will be instructed to reach out to you and inquire about a waitlist).
Submit
Should be Empty: