Easter for Kids 2018 Registration Form
Make this Easter extra memorable for your family! Drop your kids off at Christ the Rock on Saturday, March 31st from 9am to Noon for a safe and fun-filled morning learning about the true meaning behind the Easter story.

Please register each of your children separately.

Parent Last Name *
e.g. Smith, Jones
Your answer
Parent First Name *
e.g. Sarah, John
Your answer
Additional Adults who may pick-up/drop-off
Your answer
Child's First Name *
e.g. John
Your answer
Child's Last Name *
e.g. John
Your answer
Child's Age *
e.g. John
Your answer
Street Address *
e.g. 334 Main Street Farmington, NM 87401
Your answer
Parent Phone Number *
e.g. 505-555-5555
Your answer
Email *
Your answer
Photo Consent *
The registrant has my permission to participate in Christ the Rock Lutheran Easter for Kids 2018. I understand that while participating in activities the registrant may be photographed for print, video or electronic imaging. I understand the images may be used in promotional materials for Christ the Rock Lutheran Church. I acknowledge that these images will be the sole property of Christ the Rock Lutheran Church.
Required
Will your child need a ride to the event? *
If you select "yes" please call Christ the Rock at 505-324-9739 to arrange.
Consent: I give my consent for Christ the Rock to transport my child to Road to Resurrection and supervise my child while at Christ the Rock.
Please check this box if you are requesting transportation for your child.
Does anyone in your party suffer from any allergies?
Snacks will be available. Please help us avoid any potentially harmful reactions. If anyone in your group has any allergies please list them below. e.g. Tim Smith (tree nuts)
Your answer
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