Sign-up for Kids Klub this summer!
Event Timing: Tuesday evenings from 7pm to 8.30pm (doors open at 6.45pm) on July 13, 20, 27, and August 3.
Event Address: 483 McNaughton Ave E, Chatham, ON
Contact us at ebenezerkidsklub@gmail.com

The form will automatically be emailed to you. If you do not see it, please check your spam folder. If we get too many registrations for each night we may create a wait list and contact you separately to let you know.
Email *
Contact Name (first name and last name) *
Contact Phone Number *
Please provide the name and phone number of the emergency contact (if different from contact name and/or in addition to contact name).
Please use the text box below to share the names and ages of the kids who will be attending. You can also include any allergies here. *
Which evenings are your kids attending? If you need to change it later, no worries, just contact us by e-mail or let us know at the event. *
Required
Do you have any other questions or comments you would like to share?
A copy of your responses will be emailed to the address you provided.
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