2024/25 Whitneyville Bible Church - Venture Clubs Registration

Wednesdays, 6:30 - 8:15 pm | Whitneyville Bible Church
8655 Whitneyville Ave SE
Alto, MI 49302
(616) 891-8661

Child Information

Name

*

Gender

*

Please select one option.

Male Female

Birthdate

*

Grade

*

Please select one option.

Pre-Kindergarten Kindergarten 1st 2nd 3rd 4th 5th 6th

Allergies, Medical Concerns, or Special Instructions

Do you give Whitneyville Bible Church permission to take and publish photos/video of your child?

*

Please select one option.

Yes No

Family Information

Parent/Guardian

*

Phone

*

Address

*

Email

*

This address will receive a confirmation email

Please list anyone else who may pick up your child.

*

What is your home church?

*

How did you learn about our Venture Clubs program?

Emergency Contact

Emergency Contact Name

*

Emergency Contact Phone

*

Emergency Contact Relationship

*

Description

Wednesdays, 6:30 - 8:15 pm

Whitneyville Bible Church
8655 Whitneyville Ave SE
Alto, MI 49302
(616) 891-8661

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