2022 Spark in the Park! Registration

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June 13-15, 9:00am-11:30am, at Three Links - Silver Lake Park (near the playground). Children age 3 - 5th grade welcome!
We will be taking up to date COVID-19 precautions.

Name *

Birthdate *

Address

Please type in street Address, City and Zip

Home Phone *

Phone numbers are for safety purposes only. You will not receive unsolicited calls. If your home number is your cell phone skip the next question and indicate "Cell" in your answer to this question.

Cell Phone

E-mail

Parent(s)/Guardian(s) Name(s) *

Please indicate your relationship to child.

Work Number

If this number is the best way to reach you while your child is at Spark in the Park.

Emergency Contact *

Please share name - Relationship to Child - Best phone number

Allergies - Medical Conditions *

Is there anything we should know about your child in order to care for them. Your child's safety is very important to us! If there is nothing we need to be aware of please type, "None"

School Grade recently completed *

If they are preschool age let us know.

Name of your Home Church?

Can be answered "none"

May we use pictures taken at Spark in the Park that have your child in them? *

Yes

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