Pathway - Kids Quest/Breakout Registration

Kid's Quest/Breakout Registration

I'm signing my child up for:

Pre K-Kindergarten Kids Quest

1st-2nd Grade Kids Quest

3rd-5th Grade Breakout

Child's First Name:

Child's Last Name:

Grade:

Birthday:

Child's Age:

Gender:

Shirt Size:

Parent's First Name:

Parent's Last Name:

Address 1:

Address 2:

City:

Zip:

Home Phone:

Cell Phone:

Do you want to receive texts?

Yes

Email:

Known medical conditions or allergies:

Are there any physical activities your child cannot participate in?

Emergency Contact:

Emergency Contact Phone:

Insurance Policy #:

Insurance/Doctor Phone:

Publicity: I grant permission to Pathway Church and to the mass media to photograph, record, or videotape my child during the course of the camp and grant permission for the use of such reproductions for ministry purposes (please check box, if true).

I agree Please do not use my child's image.

General Info: This year, t-shirts are optional--shirts will be ordered and will arrive at the end of September. We have streamlined our t-shirts so children may wear one for all occasions. This year, the t-shirt will say “The Edge Children’s Ministry.” Please check the appropriate box.

I'm registering my student, but not ordering a shirt ($45)
I'm registering my student, and ordering a shirt ($55)

Please be aware, registration isn't complete until we've received your payment. If payment is not received within 7 days of registering, you will have to register again.

Please make checks payable to Pathway Church.

You have three options for turning in your cash or check. You can bring it into the church office, put it in a well-marked giving envelope Sunday morning, or mail it* to:

Pathway Church
Kids Quest/Breakout Registration
611 E Cypress Ave
Redlands CA 92374

If you have any further questions, please use our connect page to send us a message.

*Don't mail cash, it's just a bad idea.