The Star Movie Registration
We'll supply the popcorn, the hot chocolate, the movie, and the warm environment. Your whole family is welcome to join us for this free event or you can drop your kids off so you can do some last-minute Christmas shopping. Please fill out a form for each child participating (ages 4 and up only please, unless you'll be attending with your younger ones).
Student Name *
Your answer
Birthdate *
Your answer
Grade for 2018-19 *
Your answer
Parent/Guardians Name and Contact Phone Number *
Your answer
How many people in your family will join us for this free event? (Please list the total number even if you are filling out additional forms for additional children.) *
Your answer
Address
Your answer
City, State Zip *
Your answer
Email *
Your answer
Best way to contact me is by: *
Does your child have food allergies? *
Your answer
In case of emergency, who may we contact? *
Your answer
I give Peace Lutheran Church permission to use my child's image on their website and other promotional materials. *
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