Participant's Name *

First Name

Last Name

Participant's Name

First Name

Last Name

Participant's Name

First Name

Last Name

Participant's Name

First Name

Last Name

Participant's Name

First Name

Last Name

Parent or Guardian

Required for those children participating without a parent/guardian present

First Name

Last Name

Parent or Guardian (cont.)

First Name

Last Name

Would you like to volunteer?

Monday

Tuesday

Wednesday

No, thank you

Phone *

(###)

###

####

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Permission *

We (St. John's, Our Savior, Good Shepherd, and Holy Trinity) may take photographs during this event. We use these photos to record our history and illustrate church life in our newsletter, on our website, and/or on social media. Please indicate whether or not you give permission for photos of your child/ren to be used in these ways.

I DO give permission

I DO NOT give permission