Register for 5th Quarter now!

Every Shawnee home game, the church will be open from 9:30-midnight for a fun, safe place to hang out. There will be food, prizes and a madden tournament each week. Please fill out the information below in case we need to get ahold of you while your child is at our church. You can get more info by emailing us at info@mychc.org or calling 937-324-2330.

Please fill out form below for Child Registration.

Child(ren) Name/ Age(es)

Parent/Guardian Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone

(###)

###

####

Last School Grade Completed

Home Church

Friends of your child at Christian Heritage

Special Needs/ Allergies/ Medical Info/ Other

Emergency Contact Info: Name and Phone Number

Name(s) of Person(s) who may pick up this child from VBS at Christian Heritage

Permission

By checking this box, I give permission for my children listed above to attend and participate in any Christian Heritage VBS ministry activity.

Liability Release

By checking this box, I do herby release, and agree to hold harmless Christian Heritage Church and collectively herein the “Church workers and volunteers” from any and all liability

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