Hope Covenant Church
Adventure Club 2009 - 2010
For Kids Kindergarten - 5th Grade


If you have problems: Click Here For Printable Form to mail in.
Family Name:
Parent Name(s):
eMail Address:
Repeat eMail Address:
Phone Number:
Cell Number:
Address:
City / Zipcode:  
Church Family Attends:
Notes/Comments:
Registration Fee is $20 per student ($50 family maximum) checks should be made payable to Hope Covenant Church. Payment schedules and scholarships are available upon request.
Medical Release is sent in the confirmation email and is required with payment.
STUDENT #1
Name:
Date of Birth:   Age:   Grade Fall '09:
STUDENT #2
Name:
Date of Birth:   Age:   Grade Fall '09:
STUDENT #3
Name:
Date of Birth:   Age:   Grade Fall '09:
STUDENT #4
Name:
Date of Birth:   Age:   Grade Fall '09:
STUDENT #5
Name:
Date of Birth:   Age:   Grade Fall '09: