Summer Chat and Chew Registration

SUMMER CHAT & CHEW – DATES NOW AVAILABLE!
Tues, July 8; Tues, July 15; Wed, July 23, 5:30 – 7:00 pm each evening
Join us for a series of Kids’ Nights at PCCT
Program to include: Dinner, Music, Games, Craft, Bible Lessons
Ages: preschoolers who turned 3 by Jan 1, 2025 through rising 5th graders, plus a special “Helper” track for middle schoolers, who are then invited to stay from 7-8 pm for their own program and game time.

Parent Name

This address will receive a confirmation email

Phone

Address

Child(ren)

Child Name

Child's Age Group

Please select all that apply.

Pre-K Elementary Middle School If Middle School Helper, will they stay for the additional program?

Allergies? Information we should know.

Child Name

Child's Age Group

Please select all that apply.

Pre-K Elementary Middle School Helper If Middle School Helper, will they stay for the additional program ?

Allergies? Information we should know.

Child Name

Child's Age Group

Please select all that apply.

Pre-K Elementary Middle School Helper If Middle School Helper, will they stay for the additional program ?

Allergies? Information we should know.

Child Name

Child's Age Group

Please select all that apply.

Pre-K Elementary Middle School Helper If Middle School Helper, will they stay for the additional program?

Allergies? Information we should know.

Dates and Payment

Dates Attending

Please select all that apply.

Tuesday, July 8 Tuesday, July 15 Wednesday, July 23

Payment ($10 per child; $20 Cap per family, per session)

1 Child; 1 Session ($10.00) 2 Children or more; 1 Session ($20.00) 1 Child; 2 Sessions ($20.00) 2 or more Children, 2 Sessions ($40.00) 1 Child; 3 Sessions ($30.00) 2 or more Children, 3 Sessions ($60.00)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Summer Chat and Chew Registration

Description

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