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.
Email address
PARTICIPANT 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 www.cornerstonelynchburg.com
Child and family Information
Child's Name
Please provide your child's name. If completing registration for more than one child, please complete one registration for each child.
Your answer
Child's Age as of June 10, 2017
Your answer
Last Completed Grade
Your answer
Name of Parent(s)
Your answer
Street Address
Your answer
City, State, Zip
Your answer
Phone # to contact in case of emergency
Your answer
Do you currently have a church home?
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.
Required
If you answered "YES" to allergies, please explain the allergy more specifically, or type N/A.
Your answer
Does your child require a special accommodation for either physical or behavioral needs?
Your answer
How did you hear about our Kids Fest?
Required
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms