Please return Trinity ALIVE!

Office Use Only

completed forms
to the church All-Ages Registration Form* Payment Rec’vd
With Registration
office or Joe (Adult Participants Need to Register Too!)
Pendal by Sunday,
Sept. 12 Every Wednesday, Sept 15-Nov. 17 Payment Due
Pay $45 for the whole ten weeks ($150 family max) or
Pay $5 per week (ages 14 and above), $3 per week (under 14/over 65)
To participate on a weekly basis, reservations must be made no later than
1:00 p.m. on Monday of the week you plan to attend.

Print Name Age (if under 21)

Grade**

Address

Home Phone Cell Phone Email:

Circle Program Selection

PreK-6th Grade Bible Study/Dinner/Rec Time Youth Dinner/Bible Study

Adult Dinner/Class Adult Dinner Only Adult Class Only***

Emergency Contact Information

Print Name Best Phone Number Relationship

Please List Medical Conditions & Food Allergies That May Affect Participation

Do You Grant Photo Release Permission to Trinity During Trinity ALIVE! ___ yes ___ no

* Please Use One Form Per Person

** All Children Below Grade Five Must Be Accompanied By An Adult During Dinner

*** No Charge for Class Only Except in Cases Where Books or Materials Must Be Purchased