Kids Reverse Lock-In

Sunday, August 4th | 4 PM-10 PM | We'd love for your kiddo to join us for our Reverse Lock-In on Sunday, August 4th. Please be sure to fill out the following form so we can get an accurate count.

Child's Name

*

Grade

*

Please select all that apply.

Pre-K (4 Years Old) Kinder 1st Grade 2nd Grade 3rd Grade 4th Grade

Child's Name (2)

Grade

Please select one option.

Pre-K (4 Years Old)) Kinder 1st Grade 2nd Grade 3rd Grade 4th Grade

Child's Name (3)

Grade

Please select one option.

Pre-K (4 Years Old)) Kinder 1st Grade 2nd Grade 3rd Grade 4th Grade

Emergency Contact Name

*

Emergency Contact Phone

*

Name of Person Picking Up

*

Allergies

*

I give permission for my child(ren) to be transported by church leadership for this event.

*

Please select all that apply.

Yes No

Are you available to help?

*

Please select one option.

Yes, I'd love to No, unfortunately I can't

Email

*

This address will receive a confirmation email

Description

Sunday, August 4th | 4 PM-10 PM

We'd love for your kiddo to join us for our Reverse Lock-In on Sunday, August 4th. Please be sure to fill out the following form so we can get an accurate count.

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