Master Clubs 2017/18 Registration

Master Clubs Start Date: September 6, 2017

Ages: 3-11
Grades: K4 – 6th Grade
When: Wednesdays 6:45 – 8:15 P.M.
Where: CHBC Gymnasium
Director: Kevin Adkins
Director’s Email:
Director’s Phone #: (864) 908-8847


Please fill out all fields on the form below to register!


Child's First Name (required)

Child's Last Name (required)

Male or Female (required)
 Male Female

Birthdate (required)

Grade (required)

Mother's Full Name (required)

Father's Full Name (required)

Street Address (required)

City (required)

State (required)

Zip (required)

Home Phone (required)

Cell Phone 1

Cell Phone 2

Email Address (required)

Home Church

Medical Information we should know (Allergies, Medicines, etc.)

Who may pick up your child from Master Clubs (required)



Will your child be participating in the Master Clubs Pine Car Derby in February 2017?
 Yes No

If participating in the Pine Car Derby, please let us know your child's choice of their favorite two-digit car number.
#1 #2 #3

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Saturday Vigil: 4:30 pm

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Sunday: 9:00am, 7:15pm

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