Backyard Bible School & Youth Street Hockey Clinic

Pastor Brad Chalfin and of Canton Baptist Church are hosting Back Yard Bible Clubs at a couple of locations, including The Way and a “Street Hockey Exhibition also at The Way.

Canton Baptist Church

2021 Backyard Bible School Registration Form

 
Child’s Name Age Grade Completed______
 
 Parent/Guardian’s Name______________________________________________
 
Address_____________________________________________
 
Phone numbers___________Home_______________Cell___________
 
Email_______________________________________________
Food Allergies/Medical Information of child/children who will be attending_______
 
 
Emergency contacts (Other than listed above)
Name_______________________Phone Number_____________
 
Name_______________________Phone Number_____________
 
Does your child attend Sunday School?___If so, where?______________________
 
Can we take a picture of your child?__Yes___(circle one)____No___
 
Parent/Guardian Signature___________________________________________
 

Canton Baptist Church

2021 Youth Street Hockey Clinic Registration Form

 
Student’s  Name Age Grade Completed______
 
 
Parent/Guardian’s Name______________________________________________
 
Address_____________________________________________
 
Phone numbers_____________Home_____________Cell____________
 
Email_______________________________________________
 
Food Allergies/Medical Information of student(s) who will be attending_______
 
Emergency contacts (Other than listed above)
 
Name_____________________Phone Number_______________
 
Name_____________________Phone Number_______________
 
Does your child attend Sunday School?___If so, where?______________________
 
Can we take a picture of your student?___Yes__(circle one)__No___
 
Parent/Guardian Signature____________________________________________