Wednesday Night Programs

Sign your family up below!

Kickoff is September 5; fall semester will conclude November 14. The first week of the month will be family nights; we invite families to attend together. Students will not be split up by grades, but families will participate as a unit together.

Supper will be served beginning at 5:45, programming runs from 6:30-7:45pm.

Preschool-5th Grade: At the church

Parents, please check your child(ren) in at the table in the foyer when you arrive. Your child(ren) will be dismissed to you at the end of the evening from the sanctuary.

We will be using the Jesus Storybook Bible for our lessons.  Students will rotate between different activities each night: story time, music/Bible memory, and games or crafts.

Middle School: At the Sommerlot’s home

Family's Last Name *

Parents' Names

Address

City

State

Zipcode

Phone Number

Email Address

Emergency Contact (non-parent)

Emergency Contact Phone Number

Child #1 Name

GradePreschoolKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade

Any known allergies/medical issues we should be aware of?

Child #2 Name

Grade PreschoolKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade

Any known allergies/medical issues we should be aware of?

Child #3 Name

GradePreschoolKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade

Any known allergies/medical issues we should be aware of?

Child #4 Name

Grade PreschoolKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade

Any known allergies/medical issues we should be aware of?

Child #5 Name

GradePreschoolKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade

Any known allergies/medical issues we should be aware of?

Child #6 Name

Grade PreschoolKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade

Any known allergies/medical issues we should be aware of?

Medical Release: I give my permission for DBC volunteers to administer basic first aid to my child(res) in the event of an injury. I understand the staff will contact emergency services in the event of a significant injury. *

• Yes
• No

Photo Release: I grant DBC permission to copyright and use photographs/videos taken during the Wednesday night programs of the minor(s) designated above in any manner or form for any purpose lawful at any time. *

• Yes
• No

Any additional information

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