Keepsake Christmas 2018 - Registration Form
Please fill out a registration form for each child who will be in attendance with you. NOTE: you WILL NOT receive a confirmation email following submission of your completed registration form.
Parent/Guardian #1 - First Name *
Your answer
Parent/Guardian #1 - Last Name *
Your answer
Parent/Guardian #2 - First Name
Your answer
Parent/Guardian #2 - Last Name
Your answer
Home Church *
Your answer
Child Name *
Your answer
Gender *
Grade *
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Preferred Phone Number (xxx-xxx-xxxx) *
Your answer
Can this number accept text messages? *
Required
Any other comments?
Your answer
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