MCCC 2019 Autumn Harvest Celebration Registration
An alternative to customary Halloween activities, to celebrate God's love in the harvest season!
No costumes and please be on time.

Time: 4:00pm - 7:30pm
Date: Thursday, 10/31/2019
For Children PK~ Grade 6 (PK must be accompanied by a parent)
Free registration if registered by 10/28/2019, $5.00 per child after.

Child(ren)'s Name(s) & Grade(s) *
Please enter name(s) + grade(s). For example, John Smith - G3; Mary Smith- G5.
Your answer
Home Address *
For example, 123 Main St.
Your answer
City, State + Zip *
Your answer
Parents' Names *
Your answer
Parents' Contact Phone# *
Your answer
Parents' Email *
Please provide an email address to contact you
Your answer
Please check if you can help any of the followings:
If you have any medical/allergy concern towards your child(ren), please indicate here.
Your answer
Liability Waiver
By submitting this enrollment form as parent/guardian of my child(ren), I, fully understand all risks involved and will not hold MCCC and its coworkers responsible for any injuries incurred by my child. I grant permission to have our photo/video taken during the event and used by MCCC in promotional materials, such as slideshow, web-site, flyers, etc., unless otherwise noted in a written statement.
Please type your name here *
Your answer
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