Community Bible Club with The Chapel at Mercer
The Chapel at Mercer is excited to have your kid(s) join us for one of our Clubs during the week of July 22-25.

We again have 3 time/location options:

-10am-12pm @8265 Lamor Rd. (hosted by Teri Childers)
-2-4pm- @ The Chapel @ Mercer (hosted Ashtin Graham)
-6-8pm @ Lake Latonka Pavilion 420 Latonka Drive (Lakeview side- hosted by Amanda Carl)

Please fill out the registration info below then click submit.
For more information call 724-662-2950.
Sign in to Google to save your progress. Learn more
Parent or Guardian Full Name
Mobile Phone Number
Email Address
CHILD #1 Registration Information
Which Club will this child be attending?
Clear selection
Child #1- Full Name
Child #1- Age
Child #1- Allergies, if any
CHILD #2 Registration Information
Child #2- Full Name
Child #2- Age
Child #2- Allergies, if any
CHILD #3 Registration Information
Child #3- Name
Child #3- Age
Child #3- Allergies, if any
CHILD #4 Registration Information
Child #4- Name
Child #4- Age
Child #4- Allergies, if any
Any special instructions or comments?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms