Spring REGISTRATION FOR CHILDREN’S CLUB CHAT & CHEW. Please join our mid-week Church school program for student fellowship and dinner. Our Spring sessions will be held on: March 12, 26; April 9, 30; May 14, 28; June 4. For these sessions we ask that you consider giving a donation to help us cover some of the costs. Thank you.

Parent/Guardian Name(s)

This address will receive a confirmation email

Cell Phone

Child(ren) Name(s)

Child(ren) Age(s)

PCCT may use photos which may include my child (without name) in internal print or web publications. Yes/No?

Does your child have allergies?

Yes No

If you answered "yes" for allergies, please let us know what those allergies are.

Please let us know if there is anything we should know about your child(ren)

Optional Donation

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

All are welcome to join us for our mid-week "Chat & Chew" program! Come join in on the fun.