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Catholic Kids Club

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Monday, June 17 - Thursday, June 20
9:00am - 11:00am
Children - Age 4 (by June 1, 2019) through Grade 3
$25 per child including T-shirt
Register Here
The maximum number of form submissions has been reached. This form is currently not available.
- Family Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Mother
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Cell Phone Please enter a phone number.
- Father
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Cell Phone Please enter a phone number.
- Number of Children REQUIRED
  Enter the number of children you are registering
  Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED
  Age by June 1st
  Please fill out this field. Please enter valid data.
  
  Grade in Fall REQUIRED Please fill out this field.
  
  T-Shirt (Child Size) REQUIRED Please fill out this field.
  
  Allergies, etc.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED
  Age by June 1st
  Please fill out this field. Please enter valid data.
  
  Grade in Fall REQUIRED Please fill out this field.
  
  T-Shirt (Child Size) REQUIRED Please fill out this field.
  
  Allergies, etc.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED
  Age by June 1st
  Please fill out this field. Please enter valid data.
  
  Grade in Fall REQUIRED Please fill out this field.
  
  T-Shirt (Child Size) REQUIRED Please fill out this field.
  
  Allergies, etc.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED
  Age by June 1st
  Please fill out this field. Please enter valid data.
  
  Grade in Fall REQUIRED Please fill out this field.
  
  T-Shirt (Child Size) REQUIRED Please fill out this field.
  
  Allergies, etc.
- Cost per Child including T-Shirt26.0
- Pay by: REQUIRED Credit Card Check/Cash Please fill out this field.
- If paying by Credit Card click "Pay Now" to complete your registration
  
  If paying by Check/Cash click "Pay Later" to submit your form. Drop your payment at the Parish Center 4824 Highland Ave, Attn: Catholic Kids Club
Total:

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CKC 2018

Catholic Kids Club

Monday, June 17 - Thursday, June 20 9:00am - 11:00am Children - Age 4 (by June 1, 2019) through Grade 3 $25 per child including T-shirt

Monday, June 17 - Thursday, June 20
9:00am - 11:00am
Children - Age 4 (by June 1, 2019) through Grade 3
$25 per child including T-shirt