New Registration
Event Timing:
Event Address: 40 South Main Street, Croton, Ohio 43013
Contact us at (740)893-3191 or traci@crotonchurch.com
Email *
Child's Name *
Child's age *
Date of Birth *
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Last school grade completed *
Name of Parent(s) *
Street Address *
City *
State *
ZIP *
Email Address *
Phone *
Gender *
Allergies or other medical conditions *
In case of emergency, contact: *
Phone *
Relationship to child *
Photo/media release *
Dietary restrictions *
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