Wednesday Night Kids Club (WNKC) Registration
Boys: 1st grade through 5th grade &
Girls: Kindergarten through 5th grade.

GRACE BIBLE CHURCH
423 Main Street Souderton, PA 18964

2018 - 2019 Year Begins On September 5th, 2018

Dear Parents,

Grace Bible Church’s WNKC will begin on September 5th, 2018 with a “Get to Know You” night.
Meetings will take place every Wednesday night – except for certain dates which will be communicated in advance.

For the Boys, each week will consist of a Biblically-based lesson, activities, gym time and snacks – all supervised and led by men from our church.

Girls weekly meetings will include a Biblically-based lesson, game, singing, sometimes crafts, snacks and gym time – all supervised & led by women from our church.

The first night is just around the corner. We hope your son(s) and daughter(s) will be able to come! Here are some details:

WHEN? -
7:00 pm – 8:30 pm on Wednesday evenings – starting September 5th, 2018 until May 15th, 2019

WHERE? -
For the Boys, in the lower level of Grace Bible Church’s gym at the back of the parking lot. The entrance is at the side of the building.

For the Girls, they will be in the lower level of Grace Bible Church. We will meet in the lobby of the church before heading downstairs.

Thanks for considering sending your son(s) and /or daughter(s). If you have any questions, please feel free to call Abby Pawling at 215-723-3992 x 105 or send an email to abbyp@gracebiblesouderton.org .

If you have friends or other families that would like to join us please forward the registration form to them.

In Faith,
Abby Pawling
Director of Children’s Ministries

CHILD 1
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Current Age *
Your answer
Allergies/Specail Needs Info/Health Concerns: Please list all
Your answer
School Attending *
Your answer
Current Grade in School *
Your answer
CHILD 2
First Name
Your answer
Last Name
Your answer
Birth Date
MM
/
DD
/
YYYY
Current Age
Your answer
Allergies/Specail Needs Info/Health Concerns: Please list all
Your answer
School Attending
Your answer
Current Grade in School
Your answer
CHILD 3
First Name
Your answer
Last Name
Your answer
Birth Date
MM
/
DD
/
YYYY
Current Age
Your answer
Allergies/Specail Needs Info/Health Concerns: Please list all
Your answer
School Attending
Your answer
Current Grade in School
Your answer
PARENT INFO
Parent or Guardian Name *
Your answer
Home Street Address *
123 Main Street
Your answer
City *
Souderton
Your answer
Zip Code *
Your answer
Home Phone Number
123-456-7890
Your answer
Mom's or Guardian's Cell number *
123-456-7890
Your answer
Home Email Address *
Your answer
Emergency Information
Emergency Contact Person *
Your answer
Relationship to Child(ren) *
Your answer
Emergency Contact Home Phone number *
123-456-7890 or NA
Your answer
Emergency Contact Cell Phone number *
123-456-7890 or NA
Your answer
Do you attend church? If YES Where? If No mark NA. *
Your answer
Other Information
May we use your child(ren)'s photographs? *
Parent's or Guardian's Initials *
Your answer
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