Middle Ground Kids Club Registration Form
Kids Club will be held every 4th Sunday of the month. In order to facilitate the supplies for the class, we need to know how many children will be coming. Please fill out the form below to help us get a proper head count.

There is a suggested donation of $5 per child per class. No one will be turned away due to lack of funds.

Name of Parent *
Your answer
Email Address of Parent *
Your answer
Phone Number of Parent *
Your answer
Number of children you are registering *
Your answer
Please select all dates you would like to register for below *
(select all that apply)
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