CORNERSTONE COMMUNITY CHURCH KIDS FUN FEST!
Thank you for registering your child for our Kids Fun Fest! We're excited to share the Gospel with your child and have FUN at the same time! Our kids Fun Fest is for school-aged children in grade Kindergarten through 6th grade. Please take the time to answer these brief questions in order to complete registration.
Completing this form will register your child for Kids Fun Fest at Cornerstone Community Church. If you have multiple children, please register them separately.
Fun Fest Information
DATE: Saturday, June 10, 2017, 1pm to 5pm
ADDRESS: Cornerstone Community Church, 525 Old Graves Mill Road, Lynchburg, VA
CONTACT: (434) 847-4796 or
Child and family Information
Please provide your child's name. If completing registration for more than one child, please complete one registration for each child.
Child's Age as of June 10, 2017
Last Completed Grade
Name of Parent(s)
City, State, Zip
Phone # to contact in case of emergency
Do you currently have a church home?
Chose not to answer
Does your child have any allergies? Seasonal, food, otherwise?
If yes, check below, or write in "other". Respond N/A if no allergies are present.
Seasonal (grass, pollen, etc.)
Allergies to medicines
If you answered "YES" to allergies, please explain the allergy more specifically, or type N/A.
Does your child require a special accommodation for either physical or behavioral needs?
How did you hear about our Kids Fest?
Friend/Word of Mouth
Send me a copy of my responses.
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