reach!

Register now for an exciting and fun discipleship ministry for children ages 2 thru 5th grade!

Wednesday 6:30-8:15

Suggested donation is $30.00 per year for 1st child & additional children $10.00 per year. Scholarships are available so ALL children are welcome!

reach! partners with parents in discipling their kids thru Bible skills and thrills, scripture memorization, teaching of key Bible passages, and a game time that ROCKS!

Your name *

Email address *

Child's Name *

Birthdate *

Grade *

Address *

T-Shirt Size *

Medical note *

Allergies and/or medical conditions we should know about and if child has an EpiPen

Family Information

Answer address questions only if different from child's address.

Mother's Name *

Phone number *

Email *

Address

Father's Name *

Phone number *

Email *

Address

Emergency Contact *

Name/Relationship to Child/Phone Number

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