Family Ministries

What: A kids adventure club with music, videos, snacks,and activities such as art, cooking, sports, and games.
When: Tuesdays, July 11 through August 15, 9 a.m. to noon
Who: For kids grades K-5.
Where: Sumas A.C. Church, 125 Front Street, Sumas (360) 988-2503
Contact: Chad Hammond (503) 933-9270

Registration:

* Indicates required field

Child's Name *

First

Last

Child's Age *

Grade in the Fall *

Child's Address *

Child's Home Phone *

This program includes a snack, please list any food allergies we should be aware of. *

Does the child have any medical conditions or medications we should be aware of? *

Transportation home is the responsibility of the parent or guardian. *

I will pick my child up at noon My child may walk home The person listed below will pick up my child

Name of anyone else authorized to pick up your child *

Parent/Guardian Name *

First

Last

Parent/Guardian Phone *

Work Phone Number *

Emergency Contact *

First

Last

Emergency Contact Phone Number *

Submit