2020-2021 Adventure Island Registration

Please fill out this form to register, or return a hard copy to:

Faith Reformed Church
243 S. 4th St.
Cedar Grove, WI 53013

Current Schedule Plan:

September 9th, 16th & 23rd:
-Outdoor @ Faith Reformed from 6:00-7:00PM
-Games & Memory Work at 5:45

September 30th & beyond
-Indoor @ Faith Reformed from 6:30-7:30PM
-Games & Memory Work at 6:15

Scheduling updates will be sent out via email.

Questions? Text Wendy Wonser at (920) 207-8654.

Links:
Info Letter
Calendar
Registration (Hard Copy)
T-Shirt Form (Hard Copy)

Parent/Guardian Info

Parent/Guardian Name(s)

*

Relationship to Child(ren)

*

Family Address

*

Phone Number

*

Email Address (All scheduling changes sent here)

*

This address will receive a confirmation email

Emergency Contact

*

Emergency Contact - Phone

*

*By registering your child(ren) for Adventure Island, you grant permission for Faith Reformed Church to use multimedia recorded at various activities in church-related materials. Some multimedia may include images of your child(ren), so you may opt-out by checking this box:

Please select all that apply.

Opt-out

Student Info

Child #1 Name

*

Child #1 Birthday

*

Child #1 Grade

*

Please select one option.

5K 1st 2nd 3rd 4th 5th

Child #1 Special Instructions/Allergies

Child #2 Name

Child #2 Birthday

Child #2 Grade

Please select one option.

5K 1st 2nd 3rd 4th 5th

Child #2 Special Instructions/Allergies

Child #3 Name

Child #3 Birthday

Child #3 Grade

Please select one option.

5K 1st 2nd 3rd 4th 5th

Child #3 Special Instructions/Allergies

Child #4 Name

Child #4 Birthday

Child #4 Grade

Please select one option.

5K 1st 2nd 3rd 4th 5th

Child #4 Special Instructions/Allergies

T-Shirts (Optional) - Bring $5 per shirt on 9/11

T-Shirt #1

Please select one option.

Youth XS Youth S Youth M Youth L S M L XL XXL XXXL

T-Shirt #2

Please select one option.

Youth XS Youth S Youth M Youth L S M L XL XXL XXXL

T-Shirt #3

Please select one option.

Youth XS Youth S Youth M Youth L S M L XL XXL XXXL

T-Shirt #4

Please select one option.

Youth XS Youth S Youth M Youth L S M L XL XXL XXXL

Description

Please fill out this form to register, or return a hard copy to:

Faith Reformed Church
243 S. 4th St.
Cedar Grove, WI 53013

Please Fix the Following

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