Learner's Club Registration

TUESDAYS | 11/3, 11/10, 11/17

Theme - The First Thanksgiving. We will learn about the first Thanksgiving and why we give thanks to God.

WEDNESDAYS | 11/4, 11/11, 11/18

Theme - Turkeys! Turkey trot your way to fun! We will learn all about turkeys and do some crafts centered around them.
Child's Name

Child First NameChild Last Name
Child's Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearChild Birthdate
Parent/Guardian Name

Parent First NameParent Last Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email
EX: example@example.com
Cell Phone Number

Area CodePhone Number
Allergies, Special Needs, and Additional Details:
Allergies, special needs, and additional details
Photo/Video: During Learner's Club, photos and/or videos will be taken for use in ministry promotion for HCLC. Names will not be used. If your child cannot be photographed, please send a written request (not on this form) to the Learner's Club teacher. Thank you.
Please type your name in this box for media release.
Media release signature
The prices below include a non-refundable 3% convenience fee.

Tuesdays $90.00

Wednesdays$90.00

Enter coupon

Total $0.00