Event registration
Event Timing: July 17-21, 2016, 6:00 p.m. - 8:30 p.m. each night
Event Address: 713 Riverside Drive, Battle Creek, MI
Contact us at (269) 963-9348
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Deep Sea Discovery Registration Form
@ Central Christian Church
Child's Name *
Date of Birth
Age
Grade Completed
Parent/Guardian
Address
Home Phone
Cell Phone
E-Mail
Emergency Contact Name & Number
Special Needs or Requests
Dietary restrictions *
Adults Authorized for Pick-Up *
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