EPIC Registration

EPIC Registration

What:	EPIC (Everything Possible in Christ), which each week includes a meal, bible study, activities, and fellowship
When:	Wednesdays, 5:30-7 pm, beginning early September
Where:	Heartland Presbyterian Church 14300 Hickman Road Clive, IA 50325
Who:	Kids from K-12
Cost:	FREE!!!

Register:

Thank you for your response. ✨

Child's Name

Child's Birthdate (YYYY-MM-DD)

Child's Grade

Child's T-Shirt Size

Parent/Guardian Name

Parent/Guardian Phone

Parent/Guardian Email

Parent Address

List your children’s food and non-food allergies and/or medical conditions

Emergency Contact (name + phone)

Insurance Carrier and Policy #

Heartland may use your child’s photo for future promotional purposes (Facebook, website, etc.)