Summer Clubs - July 2025

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Participant's Information* This field is required.Please complete the following information.

Last Name

First Name

Preferred Name

Age of Child

Which Club do they want to participate in?

Register another participant?

2

Second Participant's InformationPlease complete the following information.

Last Name

First Name

Preferred Name

Age of Child

Which Club do they want to participate in?

Register another participant?

3

Third Participant's InformationPlease complete the following information.

Last Name

First Name

Preferred Name

Age of Child

Which Club do they want to participate in?

4

Please use the following space to ask any questions or share any special information (allergies, special needs, etc):

5

Parent's Information* This field is required.

First Name

Last Name

Email Address

Phone Number

6

Which sessions do you want to attend?Thursday 5:00-7:30pm

July 10

July 17

July 24

July 31

7

Photo Release * This field is required.By checking this box, I give permission for my child/children's photos to be used in online and printed materials related to Board Game Design Club and/or Music and Movement Club and/or University Baptist Church. Names will never be used in conjunction with pictures.

I AgreeI Disagree

8

Registration Payment* This field is required.$10.00 per participant / per session. Add any Additional Sessions here.

My Bag

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July 10
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July 17
$10.00Edit
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July 24
$10.00Edit
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July 31
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Credit Card

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