Backyard Bash

Student

Age

Address

Last Grade Completed

N/A Pre-K Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade

2 yrs- 4 yrs old T-Shirt Size

Guardian's Name

Guardian's Phone

Guardian's Email

This address will receive a confirmation email

Second Emergency Contact

Second Emergency Contact Phone

Food Allergies

Friend they'd like to be in the same group as, if possible

Home Church

Anything we should know

June 4th 9:00 am - 3:00 pm

Pre-k thru just finished 4th Grade

Inflatables! Crafts! Worship! Snacks!

Lunch and so much more!!

Join us as we plant seeds and grow our friendship with Jesus, and take a deeper look at

Romans 5:11.

Registration starts May 1st

Walk ins Welcome!

Description

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