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)

Full Name (Child #4)

Child #4 Birthday

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.

Description

Wednesdays in June from 6 - 7:00PM

Adventure Club (June 2025)
Child Registration Form
Please fill out this form and click submit.

Adventure Club Registration

Description

Please Fix the Following