Puggles - Bible-Byte

Child Name *

First

Last

Home Address

We might want to send your child a card or note

Date of Birth

Gender

Boy
Girl

Age *

Food Allergies or Medical Problems:

Parent(s), Grandparent(s), Guardian, Sponsor *

First

Last

List the name(s) of the person who is registering this child for the club (John, Jane Doe)

Primary Phone Number

Secondary Phone Number

Supplies

Yearly Dues
Book Bag
Shirt

Shirt Size

List the names of people who might be picking up your child

Those listed above will be allowed to pickup my child. If someone we wouldn't recognize will be coming for your child PLEASE LET US KNOW. We will not release your child to someone we don't know.