Pine Grove 5-Day Club registration

Ready for a great time of fun and learning? Register today for 5-Day Club!
Who: Kids ages 5-12
What: Games, Bible Stories, Songs, & more!
Where: Pine Grove Community Church
When: Monday—Friday, July 28-Aug 1
Time: 10:00am-Noon

Parent/Guardian Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

Child(ren) name(s)

*

School

*

Please select one option.

Prefer not to say Brockway Camas Valley Canyonville Days Creek Eastwood Elkton Fir Grove Fullerton IV Green Glide Hucrest Lookingglass McGovern Melrose Myrtle Creek North Douglas Oakland Riddle Sutherlin East Sunnyslope Sutherlin West Tri City Winchester Yoncalla Homeschool Other

Food Allergies

*

Is there anyone who should NOT pick up your child:

*

Description

Ready for a great time of fun and learning? Register today for 5-Day Club!
Who: Kids ages 5-12
What: Games, Bible Stories, Songs, & more!
Where: Pine Grove Community Church
When: Monday—Friday, July 28-Aug 1
Time: 10:00am-Noon

Please Fix the Following

Close