Community Bible Church

Activities

Woman's Life/Kid's Life 2009-10
Registration

 Please complete all the information below and be sure to hit the 'submit form' button at the bottom.  Thank you.

Date:
Name:
Address: City: State: Zip:
Phone:  E-Mail:
Birthdate:  Anniversary:
Church Home:
I will be attending the Daytime Eveningsession.  (Night time attendees may leave the rest of the form blank...don't forget to hit 'submit form.')

Because our KIDS Life programs (nursery-8th grade) are provided by volunteers, we ask that every woman serve two times per year.  I would like to help (please check two):
9/9          9/23         10/14        10/28        11/11        1/13       1/27 

2/10        2/24          3/10          3/24         4/14        4/28 


I am also willing to be called as a substitute when needed:

Please indicate first (1)  and second choice (2) of Titus Moms. Please note that group size is limited and we will do our best to place you where you request! We will place you in a group if you prefer to leave blank.

Tommie Clemmer      Michele Norman         Colleen Dralle (moms & little ones) 
Teresa Bywater     Kim Krieger         Nancy Gay     Cathy Gaffney     
Marlit Stansell (moms & little ones)     

Please list your children who will be attending KIDS Life (birth and up)
Please check if your child (age 6-17) will be participating in the Presidential Physical Fitness Challenge (PPFC) You will also need to fill out a permission slip for PPFC.

              NAME                  DOB      GRADE  M/F      SPECIAL NEEDS/ALLERGIES  PPFC

       
        
       
       

I understand that this is not a drop off program and am required to be on campus at all times while my children are here.
Please print your name to acknowledge:

QUESTIONS? CONTACT CLAUDIA GAY: 838-3495/812-2864 or cbcwomanslife@gmail.com.