2019 Kids Free Fun Fall Festival
October 26th from 1-3 PM @ United Methodist Church, 6301 Winchester Rd, Ft Wayne, In 46819. Please submit one response per child attending.
Child's Name *
Your answer
Child's Age (in years) *
Parent's Name *
Your answer
Address
Your answer
Zip Code
Your answer
Phone Number *
Your answer
Email (to be notified of future events)
Your answer
Agreement and Release
I/We the undersigned for child/children listed above and as parents or legal guardians of said minor child in consideration of receiving permission from Calvary United Methodist Church, 6301 Winchester Rd, Fort Wayne, Indiana do hereby, on behalf of said minor child and for ourselves as parents and/or legal guardians remise, release and forever discharge CALVARY UNITED METHODIST CHURCH, it's officer's, agents, volunteers, employees and others acting officially or otherwise, from any and all liability, claims, demands, actions or causes of action whatsoever, arising out of or related to any loss, damage or injury, including death, which may occur from any causes to the minor child during said minor child's
participation in our activities.

PLEASE NOTE: PHOTOS OF YOUR CHILD(REN) MAY BE USED ON OUR CHURCH WEBSITE, BULLETINS, FLYERS, MEDIA
Parent/Guardian Name *
Your answer
Current Home Church
Your answer
How did you hear about us?
Submit
Never submit passwords through Google Forms.
This form was created inside of Calvary United Methodist Church.