Fall and Winter Featured Fridays from 5pm - 7pm

This Christ-centered program aims to provide a safe haven for teens and tweens to forge new friendships, indulge in gaming and enjoy snacks. Provided free of charge for ages 8 to 16.

Oct. 25
Nov. 8
Nov. 22
Dec. 6

Location: The Salvation Army Corps Community Center
710 Pennsylvania Avenue
Sheboygan, WI 53081

Registration

Please select the nights your child is able to attend.*

Oct. 25
Nov. 8
Nov. 22
Dec. 6

How many children are you registering ?*

1
2
3

Child's Information

Name*

Age*

Grade:*

School:*

Does this child have any allergies or physical limitations that the staff should be aware of?

#2 Child's Information

Name*

Age*

Grade:*

School:*

Does this child have any allergies or physical limitations that the staff should be aware of?

#3 Child's Information

Name*

Age*

Grade*

School*

Does this child have any allergies or physical limitations that the staff should be aware of?*

Parent/Guardian Information

Name:*

Email*

Cell Phone Number*

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Work Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Address*

If you cannot be reached, who should be notified IN CASE OF EMERGENCY?

Name*

Phone Number*

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Alternative Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Additional Individuals Approved to Pick Up

Name

Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Relationship to Child

Name

Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Relationship to Child

Terms*

By signing below, I acknowledge that The Salvation Army, its officers, staff and/or volunteers will not be held responsible for any injury, loss or damage of personal property for the above named individual(s).

If my child will be absent from the program or will be picked up early, I will contact The Salvation Army at least 24 hours before the event/program. I agree to pick up my child at the specified time until other arrangements have been made. I understand that The Salvation Army will not release my child to any individual not listed as a guardian/parent or approved contact.

I give permission to copyright and/or publish images of my child in photographs and/or any media format for the expressed use of The Salvation Army.

I, the undersigned, agree to the terms above.

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