Epiphany Universalist Church
Epiphany Pre-Registration Form

Registration

Please fill out the form before, and you will be contacted to finalize your registration. This can be used for all classes and Programs. 
Name Child or Member's Name Birth Date Address E-mail Allergies Health Conditions Emergency Contact
Programs
Early Risers
Kid's Club
Teen CLub
Afternoon Adventurers
Individual Classes or Groups (Please list in box below)
Adapted Early Risers
Adapted Kids Club
Adapted Teen Club
Adapted Afternoon Adventurers
Additional Information Submit