Youth PJs & Pancakes Christmas Party
An Evangel-Trinity Combo Christmas event! Please RSVP so we know how much food to prep

DATE: Fri Dec 21, 7pm - Sat Dec 22 10am
COST: $10
AGE: Sec 1-5 (Gr 7-11)
ADDRESS: The Lighthouse, 2152 St Catherine St W, Montreal
BRING: Fun PJ's (prize for best PJs!), sleeping gear, toiletries/meds, space in your stomach for lots of pancakes!

*Parental Release Form required* (you will receive a link to your church's form, Evangel or Trinity, once you submit this form)

STUDENT INFO...
Student First Name *
Your answer
Student Last Name *
Your answer
Student Cell
Your answer
Student Medicare Card Number *
We need this info in the unlikely event of an emergency
Your answer
Student Date of Birth *
MM
/
DD
/
YYYY
Allergies, Dietary, and/or Physical Conditions/Restrictions: *
N/A if not applicable
Your answer
Will a guest be attending with you? *
Has your guest filled out this registration form yet? *
Guest Name
Your answer
EMERGENCY CONTACT INFO
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Parent/Guardian Phone Number *
Your answer
Parent/Guardian Email Address *
Your answer
PAYMENT
This event costs $10/person. Final payment and registration deadline is FRI DEC 14. *
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