Event registration
Landmark Church Kidztown Children's Ministry
Event Address: 3737 Holcomb Bridge Rd. Norcross, GA 30092
Contact us at (770) 449-5956 or office@landmarkchurch.org
Child's Name *
Your answer
Parent/Guardian Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
Cell Phone Number *
Your answer
Email *
Your answer
Child's Birthday *
MM
/
DD
/
YYYY
What is the last grade your child completed in school? *
Required
Medical or other information we need to know. (Please include any food allergies.) *
Your answer
Emergency Contact: Name (other than listed above) *
Your answer
Emergency Contact: Phone (other than listed above) *
Your answer
Emergency Contact: Name (other than listed above) *
Your answer
Emergency Contact: Phone (other than listed above) *
Your answer
Dismissal Information: Who may pick up your child at the end of each VBS day? *
Your answer
Other Information: Does your child attend Sunday School? If so where? *
Your answer
Other information: If your child is visiting our church, who are they a guest of? *
Your answer
May we have permission to photograph your child? *
Required
May we have permission to use your child's photograph for the purpose of promotion? *
Required
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