FLYM WWU Registration Form

Club Year 2013-2014

Wednesday Word U encompasses all of our Bible Study programs for youth.  PreK-K will be using the AWANA program.  Grades 1-6 will be using the LIVE curriculum.  Both programs offer children a firm biblical foundation and opportunities to develop leadership skills within the Christian community.

                                        

                                                                           

                                                

Parent's Name*
Address *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Telephone*
Emergency Contact During Bible Study / other than parents:*
Email*
Name - Child 1 *
First Name
Middle
Last Name
School - Child 1*
Birth Date - Child 1*
Gender - Child 1 *
Name - Child 2
First Name
Middle
Last Name
School Child 2
Birth Date - Child 2
Gender Child 2
Name - Child 3
First Name
Middle
Last Name
School Child 3
Birth Date - Child 3
Gender Child 3
Name - Child 4
First Name
Middle
Last Name
School Child 4
Birth Date - Child 4
Gender Child 4

                                

                     

                          

  

                            Select A Shirt Size

Child's Size
Youth Size
Adult Size

Our Terms  and Conditions

I understand that my child/children may participate in physical activities such as htose held during the lessons time.  As with any physical activity, there is a risk of injury.  I fully accept this risk and hold harmless from any legal liability, Baptist Grove Church and any persons invovled in the WWU Ministry.

In the event of an emergency that requires medical treatment for the above named child/children, I understand every effort will be made to contact me or my emergency contact. 

However, if I/we cannot be reached, I give permission to WWU leaders and volunteers to secure the services of a licensed physician to provide the care necessary for my child's well being. 

I assume responsibility for all costs connected to any accident or treatment of my child.

I have read and agree to the Terms and Conditions stated above.*

At the the submission of this form you will be directed to PULSE to submit the $10 application fee for each of the persons you have registered.

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