SUMMER BLAST 2021

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Join us for fun music, Bible lessons that will come alive, and lots of activities to choose from!

Wednesdays @ 6:15-8:00pm
K - 6th Grade (Fall 2021)
June 2-23 & July 7-28 (No activities on June 30)

Please complete the form below and submit your payment of $5.
If you are registering more than one child, please complete a separate form for each child. Choose ONE ACTIVITY PER WEEK or choose the option of "not attending on this date".

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Grade (Fall of 2021)

*

Please select all that apply.

Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

ACTIVITIES

Please make one selection for each date listed below.

July 7

*

Please select one option.

Field Hockey Not Attending on this date

July 14

*

Please select all that apply.

Target Practice Craft Not attending on this date

July 21

*

Please select all that apply.

Bicycle Skills & Thrills. Bring your own helmet. (No sandals and no training wheels) Critter Pillows Not attending on this date

July 28

*

Please select all that apply.

Tostada Fiesta Nerf Wars (Must bring your own Nerf gun) Grass Heads Not attending on this date

Payment

Credit Card ($5.00)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

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