Principal's Name

First Name

Last Name

School Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Fax

(###)

###

####

Pastor's Name

First Name

Last Name

Church Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Fax

(###)

###

####

Pastor's Name

First Name

Last Name

Church Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Fax

(###)

###

####

Club Start Time

Hour

Minute

Second

AM PM

Club Finish Time

Hour

Minute

Second

AM PM

Time Volunteers Arrive

Hour

Minute

Second

AM PM

Version of Bible Used

ESV

KJV