2025-2026 Godly Play Enrichment Class (Wednesdays)

Please fill out this form and click submit. If you have any questions, please contact Lisa Kaufer (lisa@pcwyoming.org; 513-821-8735x503).

Parent 1 Name

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Parent 1 Email

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This address will receive a confirmation email

Phone

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Address

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Parent 2 Name

Parent 2 Email

Child's Name

*

Child's Age

*

Lads and Lassies Class

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Please select one option.

Frogs AM Frog PM Fish AM Fish PM Bears AM Bears PM Other

During Godly Play, we share a snack. Please describe any food allergies or restrictions:

If your child is an AM preschool student, please list the name and phone number of any other adults who are authorized to pick your child up from Godly Play.

Please list names and phone number for additional emergency contacts.

Is there anything else we should know about your child or family?

Please select which sessions you would like to register for below.

Fall 2025 (14 Classes)

September 3-December 10 (no class on 11/26) ($140.00) Skip this session ($0) Request Scholarship ($0) Prorated Amount ($100)

Amount

Spring 2026 (14 Classes)

January 14-April 29 (no class on 3/25 and 4/1) ($140) Request Scholarship ($0) Skip this session ($0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out this form and click submit. If you have any questions, please contact Lisa Kaufer (lisa@pcwyoming.org; 513-821-8735x503).

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