Please Complete One (1) Registration Form Per Child - Back To School Bash

August 10th, 2024 | Please fill out one form per child for this Back to School Bash at City Bible Church.

Child's Information

Child's Name

*

Parent/Guardian Name

*

Best Contact Phone Number

*

Additional Phone Numbers

Email

*

This address will receive a confirmation email

Age Information

Child's Birth Date

*

Last Grade Completed In School

*

Emergency Contact

Name

*

Phone

*

Name

*

Phone

*

How many children are attending the Back to School Bash in total? (Please remember to complete one (1) form per child)

*

Please select one option.

1 2 3 4 5 +

Other Information

Do you attend church?

Please select all that apply.

Yes No

If so, where?

If you are visiting our church, who are you a guest of?

May we have permission to photograph your child?

*

Please select all that apply.

Yes No

May we have permission to use your child's photograph for the purpose of promotion?

*

Please select all that apply.

Yes No

Description

August 10th, 2024

Please fill out one form per child for this Back to School Bash at City Bible Church.

Please Fix the Following

Close