5 DAY Club

2025 Discovering Jesus! 5 Day Club

* Indicates required field

Child's Name *

First

Last

What grade is your child going into this fall? *

T-shirt size (June 29 deadline) *

Parents Name *

First

Last

Phone Number *

Cell Phone *

Email *

Emergency Contact & Phone number *

Relationship to you? *

Allergies or other medical conditions (this will be on their name tag) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Do You need Transportation *

Yes No

Location for bus pick up *

Location for bus drop off *

Submit