LIFE KIDS SUMMER NIGHTS: The Endgame
Registration
Email address *
With the power of God everyone can be a superhero!
FOR CHILDREN ENTERING 4 year old Pre-K through 5th grade IN THE FALL
Date: Monday June 24th—Friday June 28th
Time: 6-8pm
Place: Life Church 43260 Challenger Way, Lancaster CA
Meals will not be served, snacks will be enjoyed
Questions? Call the Church Office (661) 948-6055 or email Pastor Josh Kelley josh@avlife.church
Parent/Guardian First and Last Name *
Your answer
Approved persons who may pick up your child(ren) each night. (Please list all names. Anyone other than parent/guardian will be asked to show ID)
Your answer
Emergency Contact Number *
Your answer
Home Address *
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Child #1
Child #1 Name and Birthdate
Your answer
Child #1 Grade in the Fall
Your answer
Child #1 Food Allergies
Your answer
Child #1 Youth Shirt Size
Child #2
Child #2 Name and Birthdate
Your answer
Child #2 Grade in the Fall
Your answer
Child #2 Food Allergies
Your answer
Child #2 Youth Shirt Size
Child #3
Child #3 Name and Birthdate
Your answer
Child #3 Grade in the Fall
Your answer
Child #3 Food Allergies
Your answer
Child #3 Youth Shirt Size
Child #4
Child #4 Name and Birthdate
Your answer
Child #4 Grade in the Fall
Your answer
Child #4 Food Allergies
Your answer
Child #4 Youth Shirt Size
PLEASE NOTE: Upon arrival there will be a medical release form to sign to complete your registration.
Would you like to help serve? Please leave your contact information and we will reach out to you! (All volunteers must have a background check processed through Life Church)
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