Register Your Child(ren) for MC3 Church's Back-to-School Bash

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MC3 will host a Back-to-School Bash for kids up to rising fifth graders on Saturday, Aug. 2, 11 a.m.-2 p.m. The event will feature water slides, a dunk tank, super soakers and more, with food served from noon to 1 p.m. The event will be held on the church grounds located at 4415 Stone Mountain Hwy Lilburn, GA 30047. Please use this form to register your child(ren). You may use the form to register as many as four children belonging to the same parent(s). Information for the second, third and fourth children will be entered at the bottom of the form. For more information, please email us at info@mc3.life.

Child 1 First Name *

Child 1 Last Name *

Child 1 Gender *

Male

Female

Child 1 Birthdate *

YYYY

Child 1 Last School Grade completed *

Name of Parents *

Street Address

City

State

Zip code

Home Phone

Parent Cell Phone

Home e-mail address

Home Church

Allergies *

Do you have other children to register?

Yes

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