Chambersburg Brethren in Christ Church

All our adult leaders working with children and youth have been trained in our Child Protection Policy Program.					Join us for KIDS KLUBS!! BIBLE ADVENTURE
					The 3rd Wednesday evening from Sept. - May 6:30 p.m. - 7:45 p.m. Age 3 - Grade 5
			For security purposes, children will need to be dropped off and picked up by parents/guardian or another approved adult. Children will not be released to walk home alone. Thank you for helping us keep your children safe!
				Register your child(ren)

Student's Name:
Student's Birth Date
Address
Phone Number
Email:
Grade in school (Sept. 2011 OR Age if preschooler
Parent/Guardian's Name(s)
Food Allergies
Best way to contact you in an emergency.