Christmas for Kids 2018 Registration Form
Make this Christmas extra memorable learning the true meaning of Christmas, the birth of Jesus our Savior.
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
Permission to Participate and Photo Release *
The registrant has my permission to participate in Christmas 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
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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