KIDs Club 2023

Every Monday from 6-7:30pm starting September 11 and ending April 29. | KIDs Club is open to all children from age 3 (must be potty trained) to 5th grade. Kids will be divided into age appropriate groups: Pre-K & Kindergarten; 1st & 2nd Grade; 3rd - 5th Grade. Kids will enjoy activities, Bible lesson, music and games. Please fill out this form and click submit.

Parent/Guardian Information

Name

This address will receive a confirmation email

Phone

Address

If not you, who will pick up your child at the end of KIDs Club?

Child's Information

Child's Full Name

Child's Date of Birth mm/dd/yyyy

Current Grade:

Please select one option.

3 Years Old 4 Years Old Pre-K Kindergarten 1st 2nd 3rd 4th 5th

Medical and/or other important information concerning your child. (Please include food allergies):

2nd Child's Full Name

Child's Date of Birth mm/dd/yyyy

Current Grade:

Please select one option.

3 Years Old 4 Years Old Pre-K Kindergarten 1st 2nd 3rd 4th 5th

Medical and/or other important information concerning your child. (Please include food allergies):

Emergency Contact

Full Name

Phone

Full Name

Phone

By submitting this form you agree to give Lycoming Centre permission to photograph your child and use their photo for promotional purposes.

Please click

Please select all that apply.

I agree

Description

Every Monday from 6-7:30pm starting September 11 and ending April 29.

KIDs Club is open to all children from age 3 (must be potty trained) to 5th grade. Kids will be divided into age appropriate groups: Pre-K & Kindergarten; 1st & 2nd Grade; 3rd - 5th Grade. Kids will enjoy activities, Bible lesson, music and games. Please fill out this form and click submit.

KIDs Club 2023

Description

Please Fix the Following