Adventure Island Wednesday Night Registration 25/26 • Community Alliance Church

Wednesday Night Club Registration (Cubbies, Sparks, Ignite)

Preschool - 5th Grade: 2025-2026 School Year

6:30-8:00pm Starting Sept 17

At the end of the form click "+ Add Another Person" if you have multiple children to register.

It should pre-fill any information you have already entered!

Child's Information

Child's First Name *

Child's Last Name *

Date of Birth *

School Grade (Must be 3 by Sept 1) *

Gender *

Parent/Guardian Information (please list only one person)

First Name *

Last Name *

Email Address *

Additional email(s) to receive weekly info

Mobile Number *

Alternate Phone Number

Address *

City *

State *

Zip Code *

Please DO NOT post pictures of my child. **We will sometimes take pictures of the kids doing fun things to post on the Adventure Island Facebook, Intagram feed or the church website. (We will never name/tag a child in those pictures)

Notes About Allergies/Special Instructions

What church do you consider your "home church"?

We are interested in gauging which parts of the community we are currently reaching out to on Wednesday nights. *

Other:

Volunteer information

We love to have our parents come alongside their children and assist our community in discipleship.

Please consider becoming a leader on Wednesday nights!

(please note: all leaders need to have a background check completed before helping)

Please check if you are interested:

Small Group Leader

I can't serve every week, but I want to help

Special Events Helper (Carnival, Grand Prix, Christmas Program)

Bring Cookies/Bars/Snacks for Special Events

Welcomer (help @computers and greet folks that come in)

I'd like to help but not sure where...

Registration Fee

There is an annual registration fee of $25/student. Maximum of $60/family when registering 3 or more children in the same family. (This fee helps with the cost of materials that are needed through out the year.) Scholarships are available, please contact Nate for more information. 218-850-0012 or nate@cacdl.com

Payment options will be provided on the new page after you click "submit" for all of your children's info.

The payment page will not have these instructions; so please make a note of the fees.

If paying by cash or check; please drop off the payment to the office or bring it to the first night of club.