5 Day Club
July 25-29, 2022
Sponsored by Open Door Fellowship, Community Baptist Church, and CEF

250 14th Street
Franklin, IN 46131
For More Info:   church@opendoorfranklin.com
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Email *
Participants Name(s) and Age(s) as of August 1, 2022 (must be between 6 and 12) *
Parent(s)/Guardian(s)  Full Name *
Email *
Phone Number *
Address (Street, City, State, Zip) *
If anyone besides parent/guardian listed above will be dropping off or picking up please list names below.
Please note any physical limitations, allergies or restricted activities below.
I understand, the undersigned parent/guardian, of the participant(s) listed above do give permission for my child to participate in the 5 Day Club, July 25 to July 29.  I understand that there are inherent risks in participation and do not hold the Five Day Club, Child Evangelism Fellowship, Open Door Fellowship, or Community Baptist Church responsible for injuries or problems that may occur as part of those inherent risks.   I understand that this event is being held by Christian institutions and that religious teaching will be taking place.  hereby also give permission for my child to participate in all activities of the Five Day Club.   I understand that photos may be taken and used in publicity and reporting of this event and give permission for those photos to be taken.        Please sign your full name and date below *
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