Kids Club // Team Challenge (April 22)

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This form is to register your child for TriCity Church Kids Club on April 22, 2022

Kids Club is open to all kids Grades 1-5 and will be from 6pm - 8pm.

Cost is $10/person which includes Pizza!
Payment is cash or debit the night of the event.

The TriCity Church Building is at 2145 Nova Scotia Ave. in Port Coquitlam

Questions? Please contact sara@tricitychurch.ca

Child #1 first and last names *

Child #1 grade

Child #2 first and last names

Child #2 grade

Child #3 first and last names

Child #3 grade

Child #4 first and last names

Child #4 grade

Parent/Guardian Full Name *

Email address *

Phone Number (In case of emergency) *

Church you attend (if any)

Name of other kids you'd like to be in the same group with.

Does your child have any allergies?

I would like to volunteer at this event! (Please add name of volunteer(s) )

Any comments or concerns

Submit

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