Banner
DISCOVERY ZONE FOR KIDS, our program for children 4 years-6th grade, meets on Wednesday night, 6:30 – 7:45 p.m. September – April.  If you would like your child(ren) to participate please fill out and submit the registration form below.  For more information, please contact the church office at (605) 689-2211 Monday, Wednesday & Friday 8:30-4:30, Tuesday 8:30-12:30   & Thursday 11:30-4:30 or email us at discoverychurchoffice@gmail.com.

Registration Form

 

    Your Name (required)

    Your Email (required)

    Child's Name (required)

    Child's Grade (required)

    Child's Age yyyy-mm-dd (required)

    Parent's Name (required)

    Address (required)

    Home Phone Number (required)

    Cell Phone Number

    Allergies (if any)/or other information we should know

    Emergency Contact(s) (required) & Cell Phone numbers

    Shirt Size Child

    Shirt Size Adult

    Person(s) authorized by parent or guardian to pick up child & cell phone numbers (other than parents)

    Any additional information you would like to provide