Must be 3 yrs old by 06/07/22 or entering K through 5th Grade

June 6 - 9, 2022; 9:00 A.M. to 12:30 PM

If you have multiple children to register, please register them separately.

Registration Date (MM/DD/YY):

E-mail Address*:

Child's First Name*: Child's Last Name*:

Child's Age*: Child's Birthday (MM/DD/YY)*:

Child's Gender*:

Girl Boy

Grade entering in Fall 2022*:

3 years old by June 7th

4 years old by June 7th

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Street Address*: City*:

State*: Zip*:

Phone*:

Does your child attend church regularly?

Yes at First Christian Church Huber Heights

Yes at another church

In case of emergency, who do we call and at what phone number?

Name*: Phone*:

Is your child allergic to anything*?

How did you hear about Adventure Week?

Is there any other information you would like us to know about your child?

Tshirt* - $7 pay via pushpay (fcchh.org - Give option) or onsite at pick up.

Orders Closed. Any Tshirts not paid for or picked up by Jun 9 will be released for open sale.

Music CD: $5 each (While supplies last)

Photos and video are taken during Adventure Week to celebrate the event in weekend services, to place on our website to promote children's ministries or in print media to promote First Christian Church in the community. Registration implies your consent to having images of your child potentially used for these purposes.