Register ★ Register ★ Register ★ Name * First Name Last Name Parent's Email * Parent's Phone Number (###) ### #### Who Is Joining Us For This Event? * Please List All Names & Ages Address * Allergies * Please List Each Child's Allergies Emergency Contact * Please List Their Full Name, Address & Phone Number Who Will Be Picking Up Your Child? * Myself Someone Else If Someone Else Is Picking Up Your Child Please List Their Name & Make Sure They Bring Their License Upon Pick Up Any Special Care Instructions? * Potty Trained? * Yes No Thank You! We Can’t Wait to See Your Child At This Event! $15 per child, & $10 per additional child in the same family! There’s Two Ways to Pay: Cash Upon arrival at Registration at 6:15 OR pay online under ministries fundraiser using this link:
