Youth in the Park
Please fill out this form if you (or your child) plan on attending our Youth in the Park event! (Fill out one per person attending).

Please note that the responses that you enter into this form are for informational purposes only (i.e. head count, food orders, in case of an emergency, etc.).

DISCLAIMER to Parents/Guardians: Please understand that neither Dulin's Grove Church nor Veteran's Memorial Park are responsible for any injury, failure to attend, or stay at the event. While we will most definitely facilitate this event in the best interest of your children while they are in our presence, we will not assume responsibility if they choose to leave.

Email address *
Youth Last Name
Your answer
Youth First Name
Your answer
Parent/Guardian First and Last Name
Your answer
Parent/Guardian telephone number (in case of emergency)
Your answer
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