Kids Club // Pumpkin Fest (Oct 29)
This form is to register your child for TriCity Church Kids Club on October 29, 2021

Kids Club is open to all kids Grades 1-5 and will be from 6:00pm - 8:00pm. Feel free to wear a costume, and be ready for fun! The evening will include pumpkin decorating and pizza!

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
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Email *
Child #1 First and Last Name *
Child #1 Grade *
Child #2 First and Last Name
Child #2 Grade
Child #3 First and Last Name
Child #3 Grade
Child #4 First and Last Name
Child #4 Grade
Child's School *
Parent 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.
Any comments or concerns
A copy of your responses will be emailed to the address you provided.
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