CHILD REGISTRATION (Please complete this form for each child under the age of 18 attending.)
Child's Name
Child's Gender
Child's Age
Birth Date
Last School Grade Completed
Attending Dinner
Parent(s) Name
Street Address
City
Zip Code
Primary Phone Number
Parent Cell
Parent Email
Home Church
Allergies, medical conditions, or special needs:
Emergency Contact Name:
Relation to the Child
Emergency Contact Phone Number: