Registration for 5-Day Club at Rolling Meadows!

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After you press “Submit” you will see a confirmation message immediately and receive a confirmation email if all required information is submitted. If you do not see the confirmation message on the site, scroll down to review the form and complete the fields highlighted in red. Then sign and submit the competed form.

If you continue to have difficulties, call or email the club representative listed below. Thank you!

 

5-Day Club Rolling Meadows
Rolling Meadows 5-Day Club Registration

Time: 1:00 – 2:15pm
Date: July 18 - 22, 2022
Place: Rolling Meadows Apt., 4908 Grand Strand Dr., Williamsburg
Who can attend? All boys and girls ages 5-12, regardless of religious background. Parents are welcome to attend with child.
Sponsored by: CEF of Virginia and Dianne Tate.
Contact for Information: Dianne Tate, 757-291-2091


Parent /Guardian: Your child must be picked up immediately after the club ends at 2:15 p.m. Our policies do not allow 5-Day Club teachers or helpers to remain after club. Thank you.

 

Parental Permission
I give my permission for
 
 
Pick-Up
 
 
 
 
 

Child's Information
Select One:
Parent in Military:

Address Including Apt#:
City
State/Province
Zip/Postal
Does your child attend church?
 
These people (please include phone numbers) are allowed to pick up my child if I’m not able to:
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