Christmas for Kids Registration
Christ the Rock Lutheran Church
5401 Hood Mesa Trail Farmington, NM 87401
Christmas for Kids - December 14th from 9:00am to Noon
Parent Last Name *
e.g. Smith, Jones
Parent First Name *
e.g. Sarah, John
Additional Adults who may pick-up/drop-off
Street Address *
e.g. 334 Main Street Farmington, NM 87401
Parent Phone Number *
e.g. 505-555-5555
Email *
Name of Child - Child's Age *
Additional Child - Child's Age
Additional Child - Child's Age
Additional Child - Child's Age
Photo Consent *
The registrant has my permission to participate in Christ the Rock Lutheran Easter 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.
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)
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