Union Baptist Church Archery Class
Please use this form to express interest in Centershot Archery Classes.
We may be able to offer additional archery classes based on the interest of the community.
Child's Name
*
First Name
Last Name
Child's Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Gender
Male
Female
Current school grade
School name/Homeschool/Co-op
Has your child participated in the National Archery in Schools Program (NASP)?
*
Currently competing
Competed in past
Never competed
Home Church (if you have one)
Note:
Please provide your current email and phone number.
Parent/Guardian Name
*
First Name
Last Name
Parent or Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent or Guardian Email Address
*
example@example.com
What days of the week and times are you interested in:
Would you need pickup to go to class?
Yes
No
Send Form
Should be Empty: