Adventure Club Registration

Parent's Full Name

Parent's Email

This address will receive a confirmation email

Phone

Full Name (Child #1)

Birthday (Child #1)

Full Name (Child #2)

Birthday (Child #2)

Full Name (Child #3)

Birthday (Child #3)

Please indicate the names of any children that have allergies. (i.e. Elisabeth, peanuts)

PHOTO AUTHORIZATION: (I authorize the use of any photos of me, my spouse, my children, and/or my entire family, taken during this event, to be used on the Central Baptist website or any other Central Baptist publications or promotional materials.)

Yes No

Please share any comments or requests you have here.

Registration Fee ($25 per child includes an Adventure Club student workbook)

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Wednesdays from 6 - 7:00PM

Adventure Club
Child Registration Form
🗓 Wednesdays | 6:00–7:00 PM
📍 Central Baptist Church

📅 2026 Schedule
Spring Semester: January 21–May 20 (18 sessions)

Summer Break Begins: May 27

Please fill out this form and click submit.

Adventure Club Registration

Description

Please Fix the Following