Club 4/5 2020-2021 Registration
*Please fill out a form for each child.
Dates/Time: Meets 3rd Friday of each month, 6:00-7:30 pm, beginning September 18, 2020-June 18, 2021.

Location: Primary location is the Family Life Center at the WFUMC Campus, sometimes Fellowship Hall, sometimes Village Church Rolesville Campus. ***Due to Covid-19 restrictions, we will meet outdoors, wearing masks, and socially distanced at the Family Life Center until further notice. The time is 6-7:30pm for now. If restrictions are lifted, we will go back to 6-8pm.***

Questions? Contact Denelle Manley, WFUMC Family Ministry Director at (919) 556-2239 or
Child's First Name *
Child's Last Name
Email *
Mailing Address *
Parent/Guardian Names *
Phone Number (Where best to reach you during meetings) *
Child's Grade for 2020-2021 School Year *
Child's School *
Does your child have any allergies we should know about? (Please write below) *
Is there anything you would like to add about your child that you think would be helpful for us to know?
Emergency Contact Information (Someone other than parent. Please include name, relation, and phone number).
I understand that I will have to pay $20 to register my child for Club 4/5. (This helps cover dinner and supplies for the year). *
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