Let's E.A.T Registration

Let's E.A.T Registration

Grades to 6-8 (only) @ New Light MBC (C. H. Brown Family Life Center)

Child's Name

First NameLast Name
Date Of Birth

MonthDayYear
Current School
Rising Grade

Other

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Contact Number
Mother's Name

First NameLast Name
Father's Name

First NameLast Name
E-mail
Emergency Contact

First NameLast Name
Emergency Contact Number
Parent / Guardian Signature
Date Signed

MonthDayYear
Registration Fee
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Week 1: Sept. 21-24, 2026$60.00

Week 2: Sept. 28-Oct. 1, 2026$60.00

Week 3: Oct. 5-Oct. 8, 2026$60.00

Week 4: Oct. 12-Oct. 15, 2026$60.00

Week 5: Oct. 19-Oct. 22, 2026$60.00

Week 6: Oct. 26-Oct. 29, 2026$60.00

All Weeks$330.00

Total $0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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