Christmas for Kids Registration
Name of Child #1*
Age of Child #1:*
Name of Child #2
Age of Child #2
Name of Child #3
Age of Child #3
Name of Child #4
Age of Child #4
Name of Parent/Guardian:*
Address:*
City, State, Zip Code:*
Phone Number:*
Allergies and Medical Concerns for Children:
Emergency Contact & Relationship to Child(ren):*
Emergency Number:*
Who will pick child(ren) up?*
Religious Affiliation:
Church Membership at:
How did you hear about this event?*
I give my permission for Cross of Christ to use any pictures of my child(ren) for church publicity purposes only.*
 Yes
 No
I would like to find out more about the programs and activities offered by Cross of Christ Lutheran Church*
 Yes
 No
Thanks for registering! See you @ Cross of Christ on Saturday, December 15 @ 10 AM for Christmas for Kids!
E-Mail Address (To Receive a Confirmation of Your Registration):*


Submit