Transformation Station

SATURDAY KID’S CLUB
at Plain Community Church in Burgess Hall

January 15 - March 5
10:00 am - Noon
(every Saturday for 8 weeks)

Kids of all ages
(4 and under must be accompanied by an adult)

GAMES, BIBLE STORIES, PRIZES, SNACKS & FUN!

Transportation available both to and from PCC.
A Permission Slip for Participation, Medical Release and Transportation Release Form is linked below.

For more information contact Kari @ 509-881-1152, karinovikoff@gmail.com

REGISTRATION FORM

* Indicates required field

Email *

Best Phone Number *

Parent/Guardian Name *

First

Last

Child #1 Name *

First

Last

Age *

Gender *

Child 2 Name *

First

Last

Age *

Gender *

Child 3 Name *

First

Last

Age *

Gender *

Child 4 Name *

First

Last

Age *

Gender *

Would you like transportation for your children? *

- No, Thank you - YES, Thank you! - Sometimes?

Please download, print and complete the Permission Slip for Participation, Medical Release and Transportation Release Form. The form will need to be submitted the first day your child (children) attend Transformation Station.

Submit

TRANSFORMATION STATION

SATURDAY KID’S CLUBat Plain Community Church in Burgess Hall

REGISTRATION FORM

SATURDAY KID’S CLUB
at Plain Community Church in Burgess Hall