Christmas 4 Kids Registration Form
Fill out this form to register your children for our Christmas 4 Kids event. Only one form per household is needed. If you have any questions, call the Grace office (520) 623-633 or email Pastor Patoka (RevTLP@GraceLutheranSAZ.org).
Email address *
Parent/Guardian's Name(s) *
Your answer
Home Street Address *
Your answer
City, State, and Zip Code *
Your answer
Phone Number *
Your answer
Church Home (If none, enter N/A) *
Your answer
How Did You First Hear About C4K? *
Emergency Contact's Name *
Your answer
Emergency Contact's Phone Number *
Your answer
1st Child's Name and Grade *
Your answer
2nd Child's Name and Grade (If none, enter N/A) *
Your answer
3rd Child's Name and Grade (If none, enter N/A) *
Your answer
4th Child's Name and Grade (If none, enter N/A) *
Your answer
5th Child's Name and Grade (If none, enter N/A) *
Your answer
Please list any food allergies or other information we might need to make your child's day safe and enjoyable (If none, enter N/A) *
Your answer
A copy of your responses will be emailed to the address you provided.
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