KIDS CLUB 2021 REGISTRATION FORM
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Welcome!
Please fill out the form below to register your child(ren) for Trinity Church's 2021-22 Kids Club.  Note: Fill out the entire form for your child. For each additional child, however, please fill out only the information that pertains to that child. Feel free to skip any information that remains the same.

Kids Club meets the first three Fridays of the month, October through April. Our first meeting this season is October 8, but your child is welcomed to join at any time throughout the year. Kids Club meets from 7:00 to 8:30 p.m.

The registration fee, covering books and supplies, is $35.
Child's Information
Child's Name (Last Name, First Name) *
Child's Grade in September 2021 *
Allergies? *
Please list any allergies here *
Parent/Guardian Information
Parent/Guardian Name (Last Name, First Name) *
Home Address [complete](Street, City, State, Zip) *
Email Address *
Primary Phone Number *
Secondary Phone Number *
If we can't reach you, whom should we call? (Last Name, First Name) *
What is their phone number? *
Who, other than you, may pick up your child(ren)? *
Media images and recordings help us tell the story of Pioneer Club to our church community. If you do not wish to have your child's photograph or image used in Trinity's print or web publications, please indicate below.
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