Wednesday Night Alive Registration Form
All programs begin Wednesday, September 13th from 6:30-8p.m. All Classes will be meeting at the Activities Building on Clay Street. There is a $15 registration fee for all clubs except Nursery. This will help to purchase a t-shirt, binder/workbook, and awards for your child during the program. The registration fee can be submitted to the church office or you can bring it with you the 1st night of classes. Please call the church at 412-799-0701 if you have any further questions.
Thank you!
Child's Last Name *
Your answer
Child's First Name *
Your answer
Child's Age *
Your answer
Child's Grade *
Your answer
Does your child need transportation? *
Parent's Names *
Your answer
Address *
Your answer
Phone Number where you can be reached *
Your answer
Email Address
We can notify you of upcoming events
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