KidsFest 2017
Dorchester Presbyterian Church KidsFest 2017 Events Registration
(One Form per child please- Ages 3K through completed 5th Grade)
3 Events: VBS Day / Water u Doing? Day / Skate Day -- register below
Child's First Name
Your answer
Child's Last Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Grade Completed
Age
Your answer
Gender
Parent/Guardian's First Name
Your answer
Parent/Guardian's Last Name
Your answer
Address
Your answer
City, State Zip
Your answer
Mailing Address (if different from above)
Your answer
Home Phone
Your answer
Cell Phone
Your answer
e-mail
Your answer
Emergency First Name
Your answer
Emergency Last Name
Your answer
Emergency Phone
Your answer
Relationship to the child
Your answer
Special Needs/Allergies
Your answer
Anything Else You Would Like Us To Know?
Your answer
Registering Child for (all events are free):
Required
Do you agree to allow photos of your child to be used in church presentation or church promotional materials?
Submit
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