Registration Fees - SCUBA @Trinity Lutheran Church Pleasanton

Parent/Guardian Name

Child's First & LAST Name

This address will receive a confirmation email

Phone

Address

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

June 10-14, 2024

VBS Registration Fees -
Please fill out this form completely.
Select payment option -
$75 for one child or
$150 for family.
Click the submit button at the bottom.

Registration Fees - SCUBA @Trinity Lutheran Church Pleasanton

Description

Please Fix the Following