Date:                        

September 4th, 2014

 Every Thursday @ 7 PM

 During the evening service   

  Ages:       

 4 years thru 6th graders

  Registration Fee:

  New clubbers (vest included):
  $25.00 

  Clubbers going into 1st or 4th            grade (a new vest is included):
  $25.00

  All other clubbers:
  $20.00
  Turn in fee(s) to club secretary

  Contacts:

 John Coulliette

 Assistant Pastor

 (503) 625-9956

 johnc@timberlinebaptist.net


 Jenifer Eshuis-Houkema

 Masters Club Secretary

 jleshuis@gmail.com


 
Parent or Legal Guardian*               Phone*           Email Address
               

Street Address*                                                                           
                                                                                                   
City*                                                 State*      ZIP*
         

1st Child's Name*

Birthday* Grade* Gender*Vest Size*


    
2nd Child's Name

    
BirthdayGradeGenderVest Size




    
3rd Child's Name

    
BirthdayGradeGenderVest Size




    
4th Child's Name

    
BirthdayGradeGenderVest Size





*Required



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