Soccer & Scripture Clinic

Soccer & Scripture Clinic

October 12 & 13 • 9am to noon • children age 5 through grade 5
Child's Name

First NameLast Name
Child's Age and Grade
Child's Name

First NameLast Name
Child's Age and Grade
Child's Name

First NameLast Name
Child's Age and Grade
Child's Name

First NameLast Name
Child's Age and Grade
Parent or Guardian's Name

NameRelationship
Parent or Guardian's Phone number
Format: (000) 000-0000.
Email
Please add me to your Family Events email list so I know of fun events coming up like Trunk or Treat, Breakfast with Santa, Easter Egg Hunt, etc… We promise no SPAM! Just an occasional email to let you know of fun, family events we have coming up.
Emergency Contact

NameRelationship
Emergency Contact's Phone number
Format: (000) 000-0000.
Does the child/children have any allergies, medical conditions or special needs?
To reserve your child(ren)'s spot, please go to bartlettchapel.com/soccerandscripture to make your payment.
I (do/do not) consent for Bartlett Chapel Church to include my child's photograph in promotional materials such as: Bartlett Chapel Church Webpage or Bartlett Chapel Facebook page.
Signature
How did you hear about our Soccer & Scripture Clinic?
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