Christmas Party Club Registration

Christmas Party Club Registration

Fill in the information to register for the Christmas Party Club! Be prepared to fill out one form per child.
This FREE event will include songs, games, crafts, snack and the story of Christmas!

Clubs will be held Saturday, December 14th

Choose your location and time on the next page
Child's Name*

First NameLast Name
Gender

MaleFemale
Birthdate*

MonthDayYear
The Christmas Party Club is typically for ages 4-12. Parents are welcome!
Age*
Address*

Street Address (Example: 123 Anywhere Ln.)

Street Address Line 2 (Example: Apt 2a)

CityState / Province

Postal / Zip Code
Allergies or special needs (if any)*
Put NA if none.

Choose Your Location

Note: We have Christmas Parties all throughout the area. Pick the one that's closest to you!
Select Your Party Club Location*
150 Harrison Ave, Morrisville, PA 19067

9:30-11:30am
360 Eagle Rd., Newtown, PA 18940

1:00-3:00pm
4174 Township Line Rd, Wycombe, PA 18980

9:30-11:30am
1209 Markley St, Norristown, PA 19401

1:00-3:00pm
301 E Maple Ave, Langhorne, PA 19047

9:30-11:30am
3338 Richlieu Rd. (Community Room), Bensalem, PA 19020

1:00-3:00pm

Parent/Guardian Information
Parent/Guardian 1*

First NameLast Name
Email*
This email will receive notifications and reminders about club
Phone Number*
Please enter a valid phone number.
Parent/Guardian 2

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Emergency Contacts

These persons have my permission to pick up my child in the event that I cannot. Please put different information than the two parents/guardians listed above.
Emergency Contact 1*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Emergency Contact 2*

First NameLast Name
Phone Number*
Please enter a valid phone number.
By signing below I am stating that my child has my permission to attend the Christmas Party Club at the O'Sullivan Household from1:00-3:00 on Dec 14th.*

Clear
By signing below I am stating that my child has my permission to attend the Christmas Party Club at Solid Rock Youth Center from 9:30-11:30 on Dec. 14th.*

Clear
By signing below I am stating that my child has my permission to attend the Christmas Party Club at First Baptist Church of Wycombe from 9:30-11:30 on Dec 14th.*

Clear
By signing below I am stating that my child has my permission to attend the Christmas Party Club at Langhorne United Methodist Church from 9:30-11:30 on Dec 14th .*

Clear
By signing below I am stating that my child has my permission to attend the Christmas Party Club Hosted by Bensalem United Methodist Church from 1:00-3:00 on Dec 14th.*

Clear
By signing below I am stating that my child has my permission to attend the Christmas Party Club at Pennsylvania Newtown Christian Church from 1:00-3:00 on Dec. 14th.*

Clear
By signing below I am stating that my child has my permission to attend the Christmas Party Club at YWCA of Bucks County from 1:00-3:00 on Dec. 14th.*

Clear
By signing below I am stating that my child has my permission to attend the Christmas Party Club at Navigate Church from 9:30-11:30 on Dec. 14th.*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Christmas Party Club Registration

Choose Your Location

150 Harrison Ave, Morrisville, PA 19067

360 Eagle Rd., Newtown, PA 18940

4174 Township Line Rd, Wycombe, PA 18980

1209 Markley St, Norristown, PA 19401

301 E Maple Ave, Langhorne, PA 19047

3338 Richlieu Rd. (Community Room), Bensalem, PA 19020

Parent/Guardian Information

Emergency Contacts