LIGHT THE NIGHT REGISTRATION
A fun filled night for families with kids Toddler - 6th grade. There will be carnival style games, bounce houses, candy, snacks, crafts, face painting, photobooth, music and much more!

WHEN: FRIDAY, OCT. 26
TIME: 6-9PM
WHERE: FIRST ASSEMBLY OF GOD - 133 JUNCTION RD. BROOKFIELD, CT 06804

LAST NAME *
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PARENT'S NAME *
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EMAIL *
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PHONE *
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CHILD 1 NAME *
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CHILD 1 GRADE *
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CHILD 2 NAME
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CHILD 2 GRADE
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CHILD 3 NAME
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CHILD 3 GRADE
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CHILD 4 NAME
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CHILD 4 GRADE
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How Did You Hear About LIGHT THE NIGHT?
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RELEASE INFO
Photo Permission: By registering I agree to grant to Brookfield First Assembly of God permission to photograph and/or video, my (and my children's) participation in the Light The Night Event. I further agree that any or all of the material photographed may be used, in any form, as part of any future publications, brochure, or other printed materials used to promote Light The Night, and further that such use shall be without payment of fees, royalties, special credit or other compensation.
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