Welcome to FCCWC!! Register your child now!
Date: July 10th - July 13th
Time: 6pm - 8:15pm
Where: First Christian Church of Wayne City
Ages: 4yrs. - 5th grade
Name of Child?


Age/Grade? *

Address *

Name of Parent/Guardian *

Phone Number, in case of emergency, who do we call *

Any Allergies/Medical conditions? *

Do you have a home Church *

Who can we release Child to at end of day? *

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