Terrific Tuesday Registration Form | Each Tuesday Until August 19th

Terrific Tuesday's are open to all children K-5th Grade!
Middle School & High School students are welcome to join us as volunteers!

Please fill out the form below to register for any of our Terrific Tuesday Events this Summer! Your information will be submitted directly to the church office. If you have any problems submiting your information, please feel free to call 704-399-1684.

>>Click Here for a Detailed Event Schedule

>>Click Here for a Permission Slip

 
*Child's Name:
 
*Parent/Guardian Name:
 
*Address:
 
*City:
 
*State:
 
*Zip Code:
 
*Email Address:
 
*Phone Numbers (Please provide at least one.)
 
   Home:
 
   Cell:
 
   Work:
 
*Date of Birth:
 
*Age:
 
*Last School Grade Completed:
 
Home Church:
 
Allergies/Medical Information:
 
*Emergency Contact #1:
 
*Phone Number:
 
Emergency Contact #2:
 
Phone Number:
 
Event Registered For*:


July 15
July 22
August 5
August 12
August 19

*Required Fields