EKE 2019, July 15-18th, 6-8:30p
This will be an amazing time for all rising K- through completed 5th grade students. We look forward to sharing the gospel with your children through lessons, games, music and crafts. We meet at 101 S. Main Street in Belmont. Thursday night will be FAMILY NIGHT at Stowe Park Pavilion, with dinner provided & fun for all!
Child's Last Name *
Your answer
Child's First Name *
Your answer
Grade your child will be entering this fall *
Parent/ Guardian's Name *
Your answer
Emergency contact number *
Your answer
Email *
Your answer
Allergies/ Special Needs? *
List any/all, please let us know if your child carries an Epi-Pen.
Your answer
How many people (including yourself) will be at Family Night at 6:00 on Thursday @ Stowe Park? If you are signing up multiple children, only answer this question for the first child, put 0 for the rest. *
We need a headcount in order to account for food.
Your answer
Do you have a home church? *
Medical Release: I agree to indemnify and hold harmless Exodus Church, EKE and/or staff or volunteers of both in case of any illness, injury, liability, expense or loss as a result of my child (listed above) participating in EKE at Exodus Church. *
Submit
Never submit passwords through Google Forms.
This form was created inside of Exodus Church. Report Abuse - Terms of Service