Learner's Club Registration December 2024

Learner's Club Registration

December 2024
Learner's Club will be offered on Mondays and Tuesdays.

This month's topics are:
Monday: The Nativity
Tuesday: Gingerbread

You can choose one or both options at the bottom of this form.
Child's Name*

First NameLast Name
Child's Date of Birth*

MonthDayYear
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
Phone Number*

Area CodePhone Number
Allergies, Special Needs, and Additional Details:
Photo/Video: During Learner's Club, photos and/or videos will be taken for use in ministry promotion for HCLC. Names will not be used. If your child cannot be photographed, please send a written request (not on this form) to the Learner's Club teacher. Thank you.
Please type your name in this box for media release.
The prices below include a non-refundable 3% convenience fee.

Registration*

MONDAYS - The Nativity$90.00

(12/2, 12/9, 12/16, no class on 12/23 & 12/30)

TUESDAYS - Gingerbread$90.00

(12/3, 12/10, 12/17, no class on 12/24 & 12/31)

Total $0.00