Master Clubs Registration ~ Wednesdays 7:00-8:15pm

Parents Name

Phone

Address

Kids' Names & Birthdates

Medical/Allergies (if no allergies enter "none")

I give permission to photograph my child for Community Kids purposes. I understand these photos may be used for activities, events, recognition, promotional material, and church history records.

Yes No

Fee is used to provide workbooks, vests/banners and badges. Enter Credit Card below, or for information on other payment options, contact the church office or email ChildrenMinistry@CBC4me.org

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

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Master Clubs Registration ~ Wednesdays 7:00-8:15pm

Description

Please Fix the Following