Built to Last
Equipping Families with the Courage to Stand Strong

We hope you are planning to attend our special 5 PM event on Aug 18. This is for all families - parents, teens, children. Childcare will be provided for pre-schoolers and younger. All others will join in during the service. It is important for us to know who will be attending. Please include all school-aged children and younger in this survey.

Participating Parent First and Last Name *
Your answer
Participating Parent First and Last Name
Your answer
Phone number in case we need further information *
Your answer
Child number 1 First and Last Name *
Your answer
Child number 1 Complete Date of Birth *
Your answer
Child number 2 First and Last Name
Your answer
Child number 2 Complete Date of Birth
Your answer
Child number 3 First and Last Name
Your answer
Child number 3 Complete Date of Birth
Your answer
Child number 4 First and Last Name
Your answer
Child number 4 Complete Date of Birth
Your answer
Child number 5 First and Last Name
Your answer
Child number 5 Complete Date of Birth
Your answer
Child number 6 First and Last Name
Your answer
Child number 6 Complete Date of Birth
Your answer
Child number 7 First and Last Name
Your answer
Child number 7 Complete Date of Birth
Your answer
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