Registration Form | Peace Church

Child's First name

Last name

Email

Pick up Phone Number

How many children 5-12 will be attending?

What are your child(ren)'s grade and full name(s)?

Photographs will be taken.

I understand.

I do not want my child's photo shared.

Do you agree to bring a towel and clothes that can get wet?

I will bring a towel and clothes that allow my child to get wet.

What is the name of the adult who will be picking the child up?

1.This is for CHILDREN; adults, please use the volunteer link.