Impact Church NJ - Impact Kidz Club

Wednesdays at 7:00pm

Wednesdays at 7pm.

Impact Kidz Club for ages 1st-6th grade is a fun time for kids to come, meet new friends, and learn about Jesus!

Impact Kidz Club Ministry Leaders, Constantine & Mariluz West.

Adult Bible Study and youth group available at the same time.

First Name

Last Name

Birthdate

Child's Age

Last School Grade Completed

Name Of Parent(s)

Email

Parent/Caregiver Phone Number

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Home Church

Allergies, Medical Conditions, Or Special Needs

In Case Of Emergency...

Emergency Contact

Phone Number

Relationship To Child

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IMPACT KIDZ CLUB

Wednesdays at 7:00pm

In Case Of Emergency...